Please enable JavaScript.
Coggle requires JavaScript to display documents.
Distinguish DKA from HHS (Treatment HHS (Fluid replacement (Expect to…
Distinguish DKA from HHS
History
DKA
Known T1 DM with discontinuation of insulin therapy (triggers include: infection, stroke, trauma, meds, heart attack)
-
HHS
Known T2 DM with omitted or inadequate antihyperglycaemics (triggers include: infection, stroke, trauma, meds, heart attack)
Evolves more slowly (*days to weeks) with polydipsia, polyurea and weight loss
-
Lab features
-
HHS
-
-
-
Hyperosmolality more severe in HHS, tyically >320mosm/l
Treatment HHS
-
Insulin infusion
0.05U/hr initially aiming for slow, steady reduction BSL (5mmol/hr)
-
Treat precipitating cause: Abx for infection, stop B blocker, steroids, antipsychotics
-
Monitor: haemodynamics, mental state, urine output, Glucse+electrolytes (every hour), levels of ketones in DKA
-
-