22 results
Pathogenesis of Diabetic Ketoacidosis - Insulin deficiency or severe insulin insensitivity 

#DKA #Pathophysiology #Endocrinology #Diabetes #Ketoacidosis
Pathogenesis of Diabetic Ketoacidosis ... - Insulin deficiency ... or severe insulin ... Pathophysiology #Endocrinology ... #Diabetes #Ketoacidosis
Pathophysiology and Effects of Insulin Deficiency

#Insulin #Deficiency #DKA #Ketoacidosis #Diabetes #Pathophysiology #Endocrinology
and Effects of Insulin ... Deficiency #Insulin ... Deficiency #DKA #Ketoacidosis ... Pathophysiology #Endocrinology
Pathophysiology of Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Syndrome (HHS)
Absolute Insulin deficit:
 - Type I DM:
Pathophysiology of Diabetic Ketoacidosis ... HHS) Absolute Insulin ... Type I DM: No insulin ... pathophysiology #comparison #endocrinology ... diabetes #diabetic #ketoacidosis
Pathogenesis and Pathophysiology of Diabetic Ketoacidosis (DKA)

DKA is a result of an absolute or relative insulin
Pathophysiology of Diabetic Ketoacidosis ... absolute or relative insulin ... Insulin is the primary ... the absence of insulin ... DKA #Diabetes #Endocrinology
DKA vs HHS
 - Think of DKA and HHS on a spectrum of hyperglycemic emergencies
 -
emergencies - HHS = insulin ... restart any home insulin ... laboratory #diagnosis #endocrinology ... comparison #diabetic #ketoacidosis
Diabetic Ketoacidosis 
Management Priorities
1. Fluids 
2. Insulin 
3. Potassium 
4. Acidosis 
5. Re-establish oral fluids,
Diabetic Ketoacidosis ... Insulin 3. ... Potassium 4. ... subcutaneous insulin ... Identification and treatment
Hyperkalemia Management
Membrane Stabilizers:
 • Calcium gluconate
Shifters:
 • Insulin + glucose
 • Albuterol
Excreters:
 • Furosemide
 • Sodium
gluconate Shifters: • Insulin ... Hyperkalemia #Management #Treatment ... #Potassium
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... minutes) Decrease potassium ... Fluids Shift potassium ... intracellularly: • Insulin ... Sodium bicarbonate Potassium
REBEL Review 71: Treatment of Thyroid Storm 

Propranolol 
Esmolol 
Propylthiouracil (PTU) 
Methimazole 
Saturated Solution of Potassium
REBEL Review 71: Treatment ... Saturated Solution of Potassium ... Hydrocortisone #endocrinology ... table #management #treatment
Sulfonylureas - Pharmacology Summary
Mechanisms of Action: Binds to the ATP-sensitive potassium channel in pancreatic beta cells,
ATP-sensitive potassium ... cells, triggering insulin ... DM2 #diabetes #endocrinology