Hyperglycemic Crisis - Algorithm for DKA/HHS Diagnostic criteria for DKA: • pH < 7.3 • Anion gap > 10 mEq/L • Bicarb < 18 mEq/L • Urine/serum ketones +++ • Serum BHB elevated • Glucose usually > 250 mg/dL Diagnostic criteria for HHS: • pH > 7.3 • Anion gap normal < 10 mEq/L • Bicarb> 18 mEq/L • Urine/serum ketones (neg/+) • Serum BHB normal • Glucose usually > 600 mg/dL • Serum osm > 320 mOsm/kg Matthew Ho, MD PhD @MatthewHoMD #DKA #HHS #Hyperglycemic #Crisis #Algorithm #management #endocrinology #Diabetes #DM2 #Ketoacidosis
