{"id":5213,"date":"2011-07-14T20:24:27","date_gmt":"2011-07-14T20:24:27","guid":{"rendered":"http:\/\/crashtext.org\/misc\/ada-guidelines-for-hyperglycemic-crisis.htm\/"},"modified":"2013-03-25T13:40:33","modified_gmt":"2013-03-25T17:40:33","slug":"ada-guidelines-for-hyperglycemic-crisis","status":"publish","type":"post","link":"https:\/\/crashingpatient.com\/medical-surgical\/endocrinology\/ada-guidelines-for-hyperglycemic-crisis.htm\/","title":{"rendered":"Hyperglycemic Crisis"},"content":{"rendered":"
(Diabetes Care 2004 27(Supp 1):S94)<\/p>\n
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Table 1\u0097<\/strong>Diagnostic criteria for DKA and HHS<\/p>\n <\/p>\n DKA<\/p>\n HHS \u00a0 Mild Moderate Severe Plasma glucose (mg\/dl) >250 >250 >250 >600 Arterial pH 7.25\u00967.30 7.00\u00967.24 <7.00 >7.30 Serum bicarbonate (mEq\/l) 15\u009618 10 to <15 <10 >15 Urine ketones* Positive Positive Positive Small Serum ketones* Positive Positive Positive Small Effective serum osmolality (mOsm\/kg) Variable Variable Variable >320 Anion gap >10 >12 >12 Variable Alteration in sensoria or mental obtundation Alert Alert\/drowsy Stupor\/coma Stupor\/coma<\/p>\n * Nitroprusside reaction method;<\/p>\n calculation: 2[measured Na (mEq\/l)] + glucose (mg\/dl)\/18;<\/p>\n calculation: (Na+) – (Cl- + HCO3-) (mEq\/l). See text for details.<\/p>\n <\/p>\n Table 2\u0097<\/strong>Typical total body deficits of water and electrolytes in DKA and HHS*<\/p>\n <\/p>\n Total water (l) 6 9 Water (ml\/kg) 100 100\u0096200 Na+ (mEq\/kg) 7\u009610 5\u009613 Cl- (mEq\/kg) 3\u00965 5\u009615 K+ (mEq\/kg) 3\u00965 4\u00966 PO4 (mmol\/kg) 5\u00967 3\u00967 Mg++ (mEq\/kg) 1\u00962 1\u00962 Ca++ (mEq\/kg) 1\u00962 1\u00962<\/p>\n * Data are from Ennis et al. (15) and Kreisberg (8);<\/p>\n Per kilogram of body weight.<\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n
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