10 Questions
What is a potential cause of stress-induced hyperglycemia in critical care patients?
Mismanagement of sick days
In diabetic ketoacidosis (DKA), what is the renal threshold for glucose?
200 mg/dL
What is a key difference in the presentation of hyperglycemic hyperosmolar state (HHS) compared to DKA?
Higher serum osmolality in HHS
What is the recommended blood sugar range to be maintained during treatment of DKA and HHS?
Between 150-200 mg/dL
What is the initial fluid therapy recommended for restoring volume in DKA and HHS?
0.9% saline
What is the first-line fluid therapy to restore volume in diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS)?
0.9% saline
What is the recommended blood sugar range to be maintained during the treatment of DKA and HHS?
Between 150-200 mg/dL
Which medication can cause stress-induced hyperglycemia in critical care patients?
Glucocorticoids
What are the first signs indicating the onset of diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS)?
Mental status change, abdominal pain, N&V
What is the key difference in the pathophysiology of diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS)?
DKA involves insulin deficiency causing ketosis, while HHS is characterized by very high blood sugar levels
Test your knowledge on critical care with this final exam blueprint featuring 75 questions, including 40 new content, 30 previous content, and 5 case study questions. Delve into topics such as endocrine stress-induced hyperglycemia, mismanagement of sick days, critical care needs, diabetes, and advancing age. Compare and contrast diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) pathophysiology.
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