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

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

UCSD Internal
Guideline for management ... patients with diabetic ... ketoacidosis (DKA ... ) or hyperosmolar ... hyperglycemic state
Ketosis Disorders - Comparison Table
 • Starvation Ketosis
 • Alcoholic Ketoacidosis (AKA)
 • Diabetic Ketoacidosis (DKA)
) • Diabetic Ketoacidosis ... DKAHyperglycemic ... Hyperosmolar State ... (HHS) • DKA/ ... differential #diagnosis #management
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... fludrocortisone step 3 = diuretic ... determine response to diuretic ... #kaliuresis #management ... #criticalcare #
Ketosis Disorders
Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
Diabetic ketoacidosis ... (DKA) - caused ... • Hyperglycemic ... hyperosmolar state ... differential #diagnosis #management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... ↓insulin (DM, DKA ... STOP offending medications ... (IV loop diuretic ... - IV loop diuretic
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Altitude sickness • Diuretic ... irrigation • Management ... Hyponatremia • Hypercalcemia ... Lithium-induced nephrogenic diabetes ... #Pharmacology #Medications
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
Diuresis in Critical ... CONCENTRATION MEDICATIONS ... , address diuretic ... Fluid #Balance #management ... #criticalcare
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... • K sparing diuretics ... Succinylcholine - Hyperosmolar ... (Uncontrolled diabetes ... Medications 2.
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... • K sparing diuretics ... Succinylcholine - Hyperosmolar ... (Uncontrolled diabetes ... Medications 2.