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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 ... ) and Hyperglycemic ... ) #DKA #HHS # ... Algorithm #Diabetic
Ketosis Disorders - Comparison Table
 • Starvation Ketosis
 • Alcoholic Ketoacidosis (AKA)
 • Diabetic Ketoacidosis (DKA)
Ketoacidosis (DKA ... • Euglycemic DKA ... • Hyperglycemic ... Hyperosmolar State (HHS ... ) • DKA/HHS Overlap
Guideline for management of adult patients with diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS)

UCSD Internal
ketoacidosis (DKA ... or hyperosmolar hyperglycemic ... state (HHS) UCSD ... Medicine @ucsdim #DKA ... #management #algorithm
Pathophysiology of Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Syndrome (HHS)
Absolute Insulin deficit:
 - Type I DM:
Ketoacidosis (DKA ... ) and Hyperglycemic ... Hyperosmolar Syndrome (HHS ... Polydipsia #dka ... #hhs #pathophysiology
DKA vs HHS
 - Think of DKA and HHS on a spectrum of hyperglycemic emergencies
 -
DKA vs HHS - Think ... of DKA and HHS ... a spectrum of hyperglycemic ... look like overlap DKA ... BrighamChiefs #DKA
Hyperglycemic Crisis - Algorithm for DKA/HHS

Diagnostic criteria for DKA:
 • pH < 7.3
 • Anion gap
- Algorithm for ... DKA/HHS Diagnostic ... criteria for DKA ... MatthewHoMD #DKA ... #HHS #Hyperglycemic
Pathyophysiology - hyperglycemic crises in patients with diabetes 
Key signs/symptoms of HHS/DKA:
Both: Polyuria, polydipsia, weight loss,
Pathyophysiology - hyperglycemic ... /DKA: Both: Polyuria ... , hypotension) DKA ... #EM #IM #Endo #DKA ... #HHS #Ddxof
"Eight I's" mnemonic for the main causes of hyperglycemia. #hhs #dka #ketoacidosis #diabetes #diabetic #em #differential
main causes of hyperglycemia ... #hhs #dka #ketoacidosis
DKA DIAGNOSTIC CRITERIA:
1. Serum glucose >250 mg/dL
2. Arterial pH <7.3
3. Serum bicarbonate <18 mEq/L
4. At least
10% to 30% of DKA ... 2.6% to 3.2% of DKA ... risk factor for EDKA ... closes and acidosis has ... #DKA #EDKA #Insulin
Ketosis Disorders
Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
ketoacidosis (DKA ... • Euglycemic DKA ... • Hyperglycemic ... • DKA/HHS Overlap ... features of both DKA