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management diagnosis endocrinology ketoacidosis algorithm diabetic differential insulin treatment aniongap anticoagulation bioprosthetic crisis criteria criticalcare diabetes diabeticketoacidosis disorders dm2 doac
Hyperglycemic Crisis - Algorithm for DKA/HHS Diagnostic criteria for DKA: • pH < 7.3 • Anion gap
Algorithm for DKA ... usually > 250 mg ... /dL Diagnostic ... usually > 600 mg ... /dL • Serum osm
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 ... Serum glucose >250 mg ... /dL 2. ... glucose is below 200 mg ... /dL, and subcutaneous
Diabetic Ketoacidosis (DKA) - Diagnosis and Management Summary Symptoms: • Abdominal pain • Nausea • Polyuria • Polydipsia • Vomiting • Weight loss •
Ketoacidosis (DKA ... , and death DKA ... Glucose < 200 mg ... /dL #DKA #Diabetic
Diabetic Ketoacidosis (DKA) - Diagnosis and Management Summary Symptoms: • Abdominal pain • Nausea • Polyuria • Polydipsia • Vomiting • Weight loss •
Ketoacidosis (DKA ... , and death DKA ... Glucose < 200 mg ... /dL #DKA #Diabetic
Hepatitis B - Treatment Indications Treatment not indicated: • Immune tolerant state - HBe-Ag detectable, high HBV
detectable, high HBV DNA ... undetectable, low HBV DNA ... 2xULN • HBV DNA ... bilirubin > 3 mg ... /dL) or acute liver
Cardiac Valve Replacement - Anticoagulation INR Targets and Antiplatelet by Valve Type Bioprosthetic valves require at least
K antagonist (VKA ... aspirin (ASA) 75-100 mg ... VKA can be stopped ... but ASA 75-100 mg ... #Management #Cardiology
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
glucose > 250 mg ... /dl or Glucosuria ... DKA is essentially ... Hyperglycemia > 250 mg ... /dl and Glucosuria
Hypertensive Disorders of Pregnancy Chronic Hypertension: • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg •
., 300 mg/24 hr ... insufficiency (Cr > 1.1 mg ... /dL or doubling ... htn #obstetrics #cardiology
Criteria for stopping insulin drip in DKA: Don't stop the drip until the following criteria are met 1)
insulin drip in DKA ... controlled (e.g., <250 mg ... /dL or <14 mM) ... #Management #DKA
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