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5 Cards in this Set
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A-152. Explain how DKA comes about?
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Lack insulin -> increase hormone sensitive lipases -> increased free FAs to liver to ketogenesis occurs due to lack of insulin and increased glucagon as the body attempts to get sugar inside cells
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A-152. How do you tx DKA?
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1.) FLUIDS!!!! 2.) K + insulin 3.) add glucose to drip if pt becomes normoglycemic to prevent hypoglycemic. NOTE: insulin is given to shut off ketone production
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A-152. What causes hyperosmolar hyperglycemic nonketotic coma (HHNK) and what should you look for?
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Progressive hypovolemia or acute trauma
Blood sugar >1000mg/dL, no acidosis but signs of severe mental depression and acute renal failure |
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A-152. What is hemoglobin A1c and how is it used to monitor DM pts?
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H-AC1 increases due to high glucose levels and indicates the previous 3 months compliance with DM treatment by the pt. Will be high if pt not taking their insulin
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A-152. Hypoglycemia with low C-peptide levels indicates what?
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A non-DM person used insulin
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