Dka Vs Hhs Labs

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1) infection; 2) D/C Meds or inadequate therapy3) trauma; 4) med/surg illnesses -Polyuria-polydypsia-polyphagia with weight loss-Weakness-N/V-A-pain So what are you critically thinking about when you first lay eyes on the patient ? -always think airway.-Breath smells fruity odor so when your burning ketones, you know the pt is diabetic. -CENTRAL-RESPIRATORY-MUSCLUAR-INTESTINAL-RESPIRATORY (SOB, coughing)-HEART (^HR, Arrythmias)-GAStric (NV) Pathophysiology - DKA1. Loss of insulin dependent glucose transport into?2. Increased in liver?3. Increased breakdown of?4. Hyperglycemia- BG >?5. _ketone___/____6. Acidosis pH <_____________?7. HCO3 <_____________ Pathophysiology - DKA1. peripheral tissues2. gluconeogenesis3. fat, protein, and glycogen4. 200mg/dL5. Ketonemia/ketonuria6. pH < 7.3 7. <15 Hyperglycemia:1. above renal threshhold: > ________2. > 180-200 BG is_______________3. Osmotic diuresis drags solutes (Na, K, Cl, PO4) with it leading to loss of ---------> Hyperglycemia1. > 180-200 2. glycosUria3. Dehyration & Electrolyte loss Dehydration:1. aggrivates existing______________2. Lactic ________ Dehydration:1. ketoacidosis2. lactic acidosis HHS:1. Altered sensorium without _______ Continue reading >>

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    Has anyone else been experiencing severe bad breath? I am three weeks post op and my family is constantly telling me that my breath smells really bad. So now, I am always armed with Listerine Breath Strips, gum, Altoids and other mints.
    Please tell me that I'm not the only one because if so, I need to visit my doctor!

  2. itsjustjojo

    You're probably in ketosis. I had that also & it went away.

  3. KatsMeow

    You are probably in ketosis due to low carb intake...all it means is your body is buring pure FAT. It really helps with weight loss, later when you add more carbs it will go away.

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Hyperglycemic crises: Hyperglycemic hyperosmolar nonketotic coma (HHNK) versus DKA. See DKA video here: https://youtu.be/r2tXTjb7EqU This video and similar images/videos are available for instant download licensing here https://www.alilamedicalmedia.com/-/g... Voice by: Penelope Hammet Alila Medical Media. All rights reserved. All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition. Support us on Patreon and get FREE downloads and other great rewards: patreon.com/AlilaMedicalMedia Hyperosmolar hyperglycemic state, or HHS, is another ACUTE and life-threatening complication of diabetes mellitus. It develops slower than DKA, typically in the course of several days, but has a much higher mortality rate. Like DKA, HHS is triggered when diabetic patients suffer from ADDITIONAL physiologic stress such as infections, other illness, INadequate diabetic treatment or certain drugs. Similar to DKA, the RISE in COUNTER-regulatory hormones is the major culprit. These hormones

Hyperosmolar Hyperglycemic State (hhs)

By Erika F. Brutsaert, MD, Assistant Professor, Albert Einstein College of Medicine; Attending Physician, Montefiore Medical Center Hyperosmolar hyperglycemic state is a metabolic complication of diabetes mellitus (DM) characterized by severe hyperglycemia, extreme dehydration, hyperosmolar plasma, and altered consciousness. It most often occurs in type 2 DM, often in the setting of physiologic stress. HHS is diagnosed by severe hyperglycemia and plasma hyperosmolality and absence of significant ketosis. Treatment is IV saline solution and insulin. Complications include coma, seizures, and death. Hyperosmolar hyperglycemic state (HHSpreviously referred to as hyperglycemic hyperosmolar nonketotic coma [HHNK] and nonketotic hyperosmolar syndrome) is a complication of type 2 diabetes mellitus and has an estimated mortality rate of up to20%, which is significantly higher than the mortality for diabetic ketoacidosis (currently < 1%). It usually develops after a period of symptomatic hyperglycemia in which fluid intake is inadequate to prevent extreme dehydration due to the hyperglycemia-induced osmotic diuresis. Acute infections and other medical conditions Drugs that impair glucose to Continue reading >>

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  1. driven1

    OK.... I'm a keto newbie, on Day 9 of the 12 day start up. As and aside, I feel great and am loving the food choices.
    ANYWAY... I have a girl friend who is an RN (and a very good one), who has cautioned me that ketones are 'hard on the kidneys'.
    Now, I love my GF to death, and I know that she means only the best, but I have very little confidence in the conventional medical community. After all, this is an industry that makes it's money from people being sick...
    My research has turned up that ketones are NOT damaging to the kidneys. On the contrary, the kidney uses ketones as a preferred fuel source when they can get them. The heart and brain as well as other major organs prefer them too...
    Seems as though the confusion is with the fact that a lot of medical professionals consider the excessive protein while on a keto diet damaging to the kidneys. I have also found research that dispels this... showing that only individuals who already have compromised kidney functions MIGHT have a problem with excess protein in the diet.
    I'm looking for comments from those who are experienced with the keto lifestyle. What do you know??

  2. titebuoy

    excessive dietary protein causes your kidneys to work harder to remove excess nitrogen. however, the keto is a high fat diet, not a high protein diet so i wouldnt be worried about it unless your macros are out of wack. some people have trouble with foamy urine on the diet, but most people dont experience kidney trouble on keto.

  3. stew9812

    I'm new to this too.
    I think what they teach the doctors/nurses is whats best for the general public. (people that don't work out, and don't necessarily get enough water ect..) So they may not always have the best answers for people like us.
    I would say to just drink plenty of water, and you will be fine.
    Just my opinion here, but like you say there is plenty of people who have done this diet with no bad side effects, and there is plenty of research supporting this to be a healthy diet as well.
    just my .02

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My Site - Chapter 15: Hyperglycemic Emergencies In Adults

Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) should be suspected in ill patients with diabetes. If either DKA or HHS is diagnosed, precipitating factors must be sought and treated. DKA and HHS are medical emergencies that require treatment and monitoring for multiple metabolic abnormalities and vigilance for complications. A normal blood glucose does not rule out DKA in pregnancy. Ketoacidosis requires insulin administration (0.1 U/kg/h) for resolution; bicarbonate therapy should be considered only for extreme acidosis (pH7.0). Note to readers: Although the diagnosis and treatment of diabetic ketoacidosis (DKA) in adults and in children share general principles, there are significant differences in their application, largely related to the increased risk of life-threatening cerebral edema with DKA in children and adolescents. The specific issues related to treatment of DKA in children and adolescents are addressed in the Type 1 Diabetes in Children and Adolescents chapter, p. S153. Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) are diabetes emergencies with overlapping features. With insulin deficiency, hyperglycemia causes urinary Continue reading >>

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  1. heyjade24

    So I've been keeping calm and ketoing on for 6 months and decided to finally tell my doctor. I've lost 35 pounds, gotten off of metformin for insulin resistance, substantially decreased my fibromyalgia pain and have more energy then ever. Doc tested my blood yesterday for Hemoglobin, Thyroid and Cholesterol levels. My good cholesterol came back great - 66 I think he said - my bad cholestrol came in at 262. He says he's "okay with me staying on the diet for another 3 months because [I'm] still losing weight, but after that I need to go on a low cholesterol diet".
    Is this true? I was planning on staying on keto... forever. Please provide some insight to this, I really don't want to stop keto - could I just cut down on the cheese, bacon, beef and steak and do more chicken? Less eggs? I eat eggs every day! Oy vey.
    He's just a skeptic right? Or do I have to take this seriously?
    Update: Thanks for all the feedback everyone, I really appreciate all the explanations and validations. One question I still have, but didn't call enough attention to in my initial post description is: Is Keto sustainable 'forever'? I like eating this way, and its the first time a lifestyle change has stuck! I love keto - are there changes that have to be made down the road? After the first year maybe? Or do you just keep adjusting your macros until you are sustaining your goal weight?

  2. ChinaKeto

    As you lose weight, your body releases cholesterol into the bloodstream. This can show up as high total cholesterol, and high LDL levels. Keto affects people completely differently when it comes to this. But, studies have shown that there are differences between different LDL particles, with smaller ones being worse for your health, and keto, while it can raise LDL, promotes a reduction in small particle LDL, and a significant increase in large LDL particles. I need to locate the link to the video about this.

  3. heyjade24

    Would you mind ELI5 what LDL levels are?

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