11 results
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 ... hyperglycemic state ... ketoacidosis #management #algorithm
Pathophysiology of Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Syndrome (HHS)
Absolute Insulin deficit:
 - Type I DM:
Pathophysiology of Diabetic ... Ketoacidosis (DKA ... Hyperglycemic Hyperosmolar ... Polydipsia #dka ... hyperglycemic #hyperosmolar
Ketosis Disorders - Comparison Table
 • Starvation Ketosis
 • Alcoholic Ketoacidosis (AKA)
 • Diabetic Ketoacidosis (DKA)
) • Diabetic Ketoacidosis ... (DKA) • Euglycemic ... DKA • Hyperglycemic ... Hyperosmolar State ... (HHS) • DKA/
Pathogenesis and Pathophysiology of Diabetic Ketoacidosis (DKA)

DKA is a result of an absolute or relative insulin
Pathophysiology of Diabetic ... state of carbohydrate ... to a starvation state ... Pathophysiology #Diabetic ... #Diabetes #Endocrinology
Ketosis Disorders
Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
several disease states ... • Diabetic ketoacidosis ... by complete insulin ... Hyperglycemic hyperosmolar ... state (HHS) - partial
DKA vs HHS
 - Think of DKA and HHS on a spectrum of hyperglycemic emergencies
 -
of DKA and HHS ... emergencies - HHS = insulin ... restart any home insulin ... endocrinology #comparison #diabetic ... #ketoacidosis #hyperosmolar
DKA DIAGNOSTIC CRITERIA:
1. Serum glucose >250 mg/dL
2. Arterial pH <7.3
3. Serum bicarbonate <18 mEq/L
4. At least
have new-onset diabetes ... the physiologic state ... Continue insulin ... and subcutaneous insulin ... #DKA #EDKA #Insulin
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
mimic the “Starved state ... drips unless also diabetic ... DKA is essentially ... a state of NO Insulin ... #differential #algorithm
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Succinylcholine - Hyperosmolar ... states (Uncontrolled ... diabetes, glucose ... paralysis - Insulin