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Managing DKA and HHS

Managing DKA and HHS

FromMedgeeks Clinical Review Podcast


Managing DKA and HHS

FromMedgeeks Clinical Review Podcast

ratings:
Length:
12 minutes
Released:
Jul 19, 2018
Format:
Podcast episode

Description

In last weeks episode, we discussed the differences between DKA and HHS. Today, we'll be sharing how to manage these two diseases. If you missed last weeks episode, you can listen to that here: https://medgeeks.co/podcast/ We had that 35 year old female with type 1 DM on insulin complaining of burning with urination, followed by a few days of nausea, vomiting, abdominal pain, and poor PO intake.  Labs revealed DKA: glucose 480, HA1c 10.5%, positive urine/serum ketones, creatinine 1.6, and anion gap of 25. ABG showed ph of 7.25, PCO2 of 28, bicarb of 12, and O2 of 90 on room air. This is a metabolic acidosis with respiratory compensation. (We'll also show you a shortcut on how to calculate the expected compensation). Sodium was 136. UA was positive for infection. Vitals: BP 83/45 - MAP of 58, HR 110, 100.8 F.  Management can be grouped into 3 categories: 1. fluids and electrolytes 2. insulin 3. monitor Today, we'll break this all down for you. Enjoy! - Subscribe to our YouTube channel here: https://www.youtube.com/medgeeks - Follow us on Instagram here: https://www.instagram.com/medgeeksinc - Ace your exams: https://learn.medgeeks.co/ - We'd love to hear your feedback: team@medgeeks.co - This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.
Released:
Jul 19, 2018
Format:
Podcast episode

Titles in the series (100)

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