DKA N HHS Flashcards
1
Q
Mechanism of DKA?
A
4
Lipolysis, ^ glucose, ^ ketones, ^ glucose by
2
Q
K metabolism in DKA?
A
^2 ,decrease urine 2 and vomit
3
Q
D/ds for DKA?
A
Hhs Uncontrolled dm Stressed hyperglycemia Alcohol intoxication Starvation Hyperemesis
4
Q
Values of DKA and severe DKA?
A
Glucose PH Bicarbonate Ketones Anion gap Hypokalemia GCS
5
Q
Mx of DKA?
A
6
Q
K mx of DKA?
A
7
Q
Complications of DKA?
A
Gastric stasis Thromboembolism Arrhythmia iatrogenic due to incorrect fluid therapy ARDS AKI dehydration/shock Electronic imbalance
8
Q
HHS features?
A
- The degree of insulin def is sufficient to inhibit hepatic ketogenesis but insufficient to inhibit hepatic glucose production
- mainly in type 2
- sugar is very high
- but no acidosis
- mx almost same as dka.,ost imp is hydaration
- start insulin 0.05 u/kg/hr
- im and sc not given Cuz…
- more loss inn water than Na (hyperosmolar)
- no much issue with K ,if present Correct it
- prone to venous thrombosis,AKI,neuro prob if sudden correction
