Core questions:
- List 6 potential triggers of DKA.
- Describe the pathophysiology of DKA. (Fig 118.1)
- How is DKA managed in children? In adults?
- What are the epidemiologic risk factors for cerebral edema in DKA?
- What are signs and symptoms of cerebral edema? How do you manage a pt with DKA and suspected cerebral edema?
- List 5 complications of DKA management
- List five common serious infections in diabetics and how they are managed.
- How does hypoglycemia classically present?
- List 10 causes of hypoglycemia
- Describe the treatment of hypoglycemia
- What is the definition of hyperglycemic, hyperosmolar state?
- Contrast DKA and HHS (Table 118.2)
- What is the pathophysiology of HHS?
WiseCracks:
- Why are urine ketones less sensitive for DKA than serum ketones?
- When do you give NaHCO3 to a patient with DKA?
- What is the differential diagnosis of hypoglycemia in a patient who does not have DM? What would you add to the differential diagnosis in a pt who has DM?
