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Algorithm for treatment of Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar State (HHS)

#DKA #HHS #Algorithm #Diabetic #Ketoacidosis
Algorithm for treatment ... Ketoacidosis (DKA ... State (HHS) #DKA ... State #management #treatment
Guideline for management of adult patients with diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS)

UCSD Internal
ketoacidosis (DKA ... Medicine @ucsdim #DKA ... algorithm #diabetes #treatment
SGLT2 Inhibitors and Euglycemic DKA

Risk factors for euglycemic DKA in those on an SGLT2i include:
 •
and Euglycemic DKA ... for euglycemic DKA ... serum or urine Treatment ... SGLT2 #Euglycemic #DKA ... #EDKA #Toxicity
DKA DIAGNOSTIC CRITERIA:
1. Serum glucose >250 mg/dL
2. Arterial pH <7.3
3. Serum bicarbonate <18 mEq/L
4. At least
DKA DIAGNOSTIC CRITERIA ... 10% to 30% of DKA ... common trigger for DKA ... 2.6% to 3.2% of DKA ... Treatment with IV
Diabetic Ketoacidosis 
Management Priorities
1. Fluids 
2. Insulin 
3. Potassium 
4. Acidosis 
5. Re-establish oral fluids,
Identification and treatment ... underlying cause #DKA
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Presentation seems like DKA ... diagnosis #management #Treatment
Ketosis Disorders - Comparison Table
 • Starvation Ketosis
 • Alcoholic Ketoacidosis (AKA)
 • Diabetic Ketoacidosis (DKA)
Ketoacidosis (AKA ... Ketoacidosis (DKA ... • Euglycemic DKA ... State (HHS) • DKA
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Hyperglycemia, DKA ... third of esophagus Treatment ... : - Treatment of
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
↓insulin (DM, DKA ... Stabilization Treatments ... Redistribution Treatments ... Elimination Treatments ... Diagnosis #Management #Treatment
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
which all carry treatment ... DKA is essentially ... algorithm #management #treatment