HHS and DKA Flashcards
1
Q
DKA blood glucose
A
300-800
2
Q
DKA serum bicarb
A
10-15
3
Q
DKA pH
A
6.8-7.3
4
Q
DKA S&S (8)
A
Polyuria Polydipsia Polyphagia Hyperventilation/kussmaul Abd Pain Anorexia, N/V Fruity breath ALOC
5
Q
DKA serum osmolality
A
300-320
6
Q
Priority DKA
A
Restore volume
Restore electrolytes
Reverse acidosis (with insulin)
7
Q
DKA onset
A
rapid
8
Q
DKA PaCO2
A
10-30
9
Q
When BG <300, use this
A
D5W
10
Q
K must be this before starting insulin
A
> 3.3
11
Q
Normal serum osmolality
A
275-295
12
Q
HHS BG
A
600-1200
13
Q
HHS Serum osmolality
A
> 350
14
Q
HHS priority management
A
fluid replacement
15
Q
HHS ketones
A
absent or minimal
16
Q
HHS S&S
A
Focal neuro deficits and hallucinations
ALOC
Dehydration
Tachycardia
17
Q
Type 2
A
HHS
18
Q
Type 1
A
DKA
19
Q
HHS Onset
A
gradual
20
Q
insulin drip decreased when the blood sugar reaches 250-300 mg/dL
A
to prevent development of cerebral edema, which can be promoted by rapid declines in glucose levels
21
Q
Name 3 major differences between HHS & DKA
A
- HHS has higher osmolarity
- HHS has higher serum glucose
- HHS dehydration with little to no ketoacidosis
