Basic ANKI

Flashcard	type:basic
Can type two diabetics get DKA?	Yes
When can type two diabetics get DKA?	When theyve developed insulin deficiency
What is the mortality of DKA in hospital presenters?	~1%
What is the most common cause of death for patients with DKA?	Cerebral Oedema
What is the aim of an insulin infusion in patients with DKA?	To turn off ketogenesis (and bring down insulin)
Why use 0.9% saline for DKA resus?	It's the one we've the most experience with
How fast do we want to bring down blood ketones in DKA?	At least 0.5mmol/L/hour
How fast do we want to bring down blood sugars in DKA?	At least 3mmol/L/hour
What should we do if we aren't bringing down blood ketones fast enough in DKA?	Increase the rate of insulin infusion
What should be the primary measure for DKA resuscitation	Blood Ketone Levels
What should be secondary measures for DKA resuscitation?	Blood Glucose and Bicarbonate Levels
Why should we keep long acting insulins going in DKA?	Decreases risk of rebound hyperglycaemia
How high a blood ketone would count as SEVERE DKA?	6+
How low a blood bicarb would count as SEVERE DKA?	5-
How low a blood pH would count as SEVERE DKA?	7-
How low a blood potassium would count as SEVERE DKA?	3.5-
How low a GCS would count as SEVERE DKA?	12-
How low a SpO2 would count as SEVERE DKA?	92%-
How high an Anion Gap would count as SEVERE DKA?	16+
What do blood ketones need to be, to restart normal shorter acting subcut insulin in DKA?	0.6mmol or less
What should you do at same time as restarting normal subcut insulin when recovering from DKA?	Give Meal, Keep IV's going for 30mins
Should you give IV bicarb for low bicarb in DKA?	No
Why shouldnt you give IV bicarb in DKA?	Increases CSF Acidosis and Cerebral Oedema Risks
Which electrolyte is the one you really need to pay attention to when looking at cerebral oedema risk in DKA?	Sodium
Why do you really need to care about Sodium in DKA?	Its swings in this that increase cerebral oedema risk
Is it recorded or corrected sodium you need to care about for DKA cerebral oedema risks?	Corrected
What happens to potassium in DKA?	Moves extracellular and then diuresed out
Is plasma osmolality high or low in DKA?	High
What happens to intracellular fluid in DKA?	Pulled extracellular by osmolality of high glucose

Cloze ANKI

Flashcard	type:cloze
The triad needed to diagnose DKA is {{c1::High Ketones (3+ in blood)::condition}} {{c2::High Glucose (11+ in blood)::condition}} {{c3::Acid (pH < 7.3)::condition}}

[Endocrine Disorders]: "Endocrine Disorders"