DM- DKA Flashcards
What puts someone at risk of DKA
a diabetic who is ill
In what conditions does a normal or mildly elevated BLG not r/o DKA
pregnancy
SGLT2 inhibitor use
What does DKA require for treatment
IV insulin administration
What are 6 top risk factors for DKA
new DM dx
insulin error
infection
MI
abdo crisis
trauma
Is DKA more common in T1 or T2
T1
What is the best prevention strategy for DKA
a sick day management plan
What are the 3 main clinical presentation features of DKA
Hyperglycemia
acidosis
a precipitating condition (infection, insulin error, new dx DM etc.)
What is a sick day management plan
a plan for if pt is sick- with meds to stop, guide for insulin adjustment, when to go to ER
What key feature of sick day plan helps to prevent ER visits for DKA
beta-hydroxybutyrate monitoring (hand held finger prick blood test that tests for ketones)
What should you do if a pt is in DKA in the clinic
call 911
What risk does SGLT2 have in regards to DKA
2
- Lowers threshold for developing DKA
- Pt may present with lower than expected BLG with DKA resulting in misdx
What 3 things are usually administered for DKA in hospital
fluids (NS) + KCl + insulin
bicarb if severe
What is hyperosmolar hyperglycemic state (HHS)?
severely high glucose levels - pt has enough insulin to prevent ketosis but not control BLG
What does HHS lead to?
significant osmotic diuresis –> dehydration
