Managing DKA and HHS

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! - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach.  Whether you want to ... Stop taking your work home Have the skillset to work autonomously Improve your work life balance ...or anything in between, we can definitely help.   We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here:   https://www.medgeeksmentorship.co/opportunities   or schedule a time to chat with our advisors here:   https://www.medgeeksmentorship.co/application   - Learn more about what we do here https://medgeeks.co/about-us - Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates: https://www.facebook.com/groups/medgeeks - 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.