Fluid Fixation
When setting up insulin and maintenance fluid lines, you should Y in ______ into the primary line, ______.
When setting up insulin and maintenance fluid lines, you should Y in _insulin_____ into the primary line, _fluids_____.
What glucose level is considered for a diagnosis of HHS?
Greater than 600 :)
Glycosuria occurs in which condition?
Both DKA and HHS
When do you replace potassium with a DKA or HHS patient?
before starting insulin drip
What IV fluid should you switch to when your DKA patient's blood sugar drops below 250 mg/dl?
D5W and NaCl 0.45 %
What range is a normal or "closed" anion gap?
8-12 mEq/ L
This respiration pattern is the result of ketoacidosis
Kussmaul breathing
How is an insulin bolus dose administered for DKA/ HHS?
IV
When decreasing blood sugar on an insulin drip, what rate should you run dextrose IV fluid?
150-200 ml/hr
Unlike in DKA, this lab value typically remains above 18 mEq/ L in patients with HHS
Bicarbonate
Which organ creates ketones as a by-product of fatty acid metabolism?
Liver
How frequently should potassium be checked?
Q 2-4 hours
The fluid resuscitation protocol in DKA calls for which fluid to infuse within the first 1-2 hours to restore intravascular volume and stabilize BP?
Isotonic solution: Normal Saline or Lactated ringers
What glucose level would you administer D50 with a patient on an insulin drip?
<100 mg/ dl
What do type 2 diabetics have that prevents them from creating ketones?
insulin
When do you turn off insulin drip after subcutaneous insulin given?
2 hours