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AACN CCRN Endocrine Exam Study Guide Solutions

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AACN CCRN Endocrine Exam Study Guide Solutions

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AACN CCRN Endocrine Exam Study Guide Solutions


Acute Hypoglycemia - Ans:✔✔-<50


DKA mostly precipitated by - Ans:✔✔-INFECTION


Azotemia - Ans:✔✔-Elevation of BUN


DKA - Ans:✔✔-blood glucose >500, increased anion gap, azotemia, ketones in urine


Ketones - Ans:✔✔-produced when insulin cannot turn glucose into energy and instead turns fat into

ketones, Ph <7.32


DKA Tx - Ans:✔✔-1-2L within first 2 hours, d5/.5ns when BG <250, may receive 8-10L in first 24hr, Bicarb

to <potassium


HHNK S/S - Ans:✔✔->800 mg/dL, r/t DM II, osmolality >350, negative ketones, PH >7.3


Severe dehydration, some insulin


HHNK - Ans:✔✔-2L NS in first hour, IV insulin 10 units/hr, give prn K


DI labs - Ans:✔✔-plasma Osm >295




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