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

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

UCSD Internal
patients with diabetic ... ketoacidosis (DKA ... ) or hyperosmolar ... #management #algorithm ... #diabetes #treatment
Ketosis Disorders - Comparison Table
 • Starvation Ketosis
 • Alcoholic Ketoacidosis (AKA)
 • Diabetic Ketoacidosis (DKA)
Ketosis Disorders ... ) • Diabetic Ketoacidosis ... Hyperosmolar State ... (HHS) • DKA/ ... #differential #diagnosis
DKA vs HHS
 - Think of DKA and HHS on a spectrum of hyperglycemic emergencies
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DKA vs HHS - Think ... of DKA and HHS ... #laboratory #diagnosis ... endocrinology #comparison #diabetic ... #ketoacidosis #hyperosmolar
Ketosis Disorders
Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
Ketosis Disorders ... • Diabetic ketoacidosis ... Hyperglycemic hyperosmolar ... • DKA/HHS Overlap ... #differential #diagnosis
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 ... Continue insulin ... Treatment with IV ... closes and acidosis has ... #DKA #EDKA #Insulin
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
which all carry treatment ... drips unless also diabetic ... DKA is essentially ... #diagnosis #differential ... #algorithm #management
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
nutrients • TPN for treatment ... Rapid delivery of hyperosmolar ... after RYGB • Disorder ... excluded limb • Treatment ... gastroenterology #diagnosis