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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 ... (DKA) • Euglycemic ... DKAHyperglycemic ... Hyperosmolar State ... differential #diagnosis #management
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 - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... Succinylcholine - Hyperosmolar ... (Uncontrolled diabetes ... Medications 2. ... causes #potassium #high
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... Succinylcholine - Hyperosmolar ... (Uncontrolled diabetes ... Medications 2. ... causes #potassium #high
Type 2 Diabetes - Screening, Diagnosis and Management Algorithm
Lifestyle  Modifications (Diet and Exercise) -> Start
Diagnosis and Management ... -> Start Oral Hypoglycemic ... Second Oral Hypoglycemic ... with DM2 • High ... Rubella) • Medications
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
and Management ... Etiology: • Medications ... ↓insulin (DM, DKA ... STOP offending medications ... - IV loop diuretic
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
TO PO • USE HIGH ... CONCENTRATION MEDICATIONS ... especially in high ... Fluid #Balance #management ... #criticalcare
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
If Hyperglycemic ... drips unless also diabetic ... DKA is essentially ... differential #algorithm #management ... #treatment #criticalcare