Signs and symptoms
Abdominal pain is a sign of DKA or HHNS?
DKA
What cause is the same for both DKA and HHNS?
Infection/illness
First line of treatment for DKA and HHNS?
Fluids
3 signs and symptoms of hyperglycemia?
Polyuria
Polyphagia
Polydipsia
Give me 3 signs and symptoms of hypoglycemia
Headache, irritability, weakness, anxious, sweaty, hunger
First action for someone with DKA or HHNS?
Give fluids
Skipping insulin is a cause of?
DKA
How often should we monitor blood sugar when someone is being treated for DKA or HHNS?
Q1h
What type of drug can cause hyperglycemia
Steroids
Give me 1 cause of hypoglycemia
Alcohol, exercise, insulin peak time
What fluids should be given to someone with DKA or HHNS?
0.9 Normal Saline
What are common side effects with dehydration with occurs in both DKA and HHNS? Name at least 2
Poor skin turgor
Dry mucous membranes
Tachycardia
Orthostatic hypotension
After a patient is off IV insulin, what should he/she be on next?
insulin SQ and dextrose IV
4 causes of hyperglycemia
Sepsis
Steroids
Stress
Skips insulin
Give me 2 treatments of hypoglycemia
eat if awake
IV D50 if unconscious
Acronym for signs and symptoms of DKA?
D - dry body (dehydrated) and high blood sugar
K - Ketones and kussmaul respirations
A - abdominal pain
A - Acidosis (metabolic)
What blood sugar is considered DKA?
250-500
Acronym for treatment of DKA?
D - dehydration
K - Kill sugar slowly
A - add potassium
Fasting blood sugar to be considered hyperglycemic?
>126
How often do we check blood sugar after treating for hypoglycemia?
Every 15 minutes
Acronym for signs and symptoms of HHNS
H - highest blood sugar
H - highest fluid loss (extreme dehydration)
H - Head change
N - no abdominal pain
S - slow onset
What blood sugar is considered HHNS?
>600
Acronym for treatment of HHNS?
H - Hydrate
S - stabilize sugar