Pathophys of DKA and HHS

Question 1

What is the glucose in HHS?

Answer 1

> 600

Question 2

What is the glucose in DKA?

Answer 2

> 250

Question 3

What is the pH in DKA and HHS?

Answer 3

DKA: 7.3

Question 4

Other than DKA, what are other hyperglycemic states?

Answer 4

DM, HHS, imparied glucose tolerance, stress hyperglycemia

Question 5

Other than DKA, what are other ketotic states?

Answer 5

alcoholic ketoacidosis, starvation ketosis, ketotic hyperglycemia

Question 6

Other than DKA, what are other metabolic acidodic states?

Answer 6

Lactic acidosis, hyperchloremic, drug-induced, uremia

Question 7

What is the most common precipitating factor for DKA and HHS?

Answer 7

Infection- pneumonia

Question 8

What is the main factor that differentiates mild, moderate, severe, DKA?

Answer 8

arterial pH and serum bicarb

Question 9

Lots of hormones increase in hypoglycemia, what are 2 that increase?

Answer 9

C-peptide and glucose

Question 10

T or F Fasting state is a stressed state.

Answer 10

T

Question 11

How do you treat DKA or HHS?

Answer 11

Give IV fluid, potassium, and insulin (only after you determine K)