Endocrine emergencies
DKA, HHS, HYPOGLYCEMIA,THYROID EMERGENCIES,
ADRENAL CRISIS
,Diabetic ketoacidosis
- Dka is among the most serious acute complications of T2DM.
- Is a state of Absolute Insulin Deficiency
- It has a high mortality rate if it goes unrecognised.
DIAGNOSTIC CRITERIA
CAPILLARY BLOOD GLUCOSE >11 MMOL/L
CAPILLARY KETONES/URINARY KETONE >3/>2+
VBG PH<7.3, HCO3<15MMOL/L
,Parameters for severe DKA
VBG HCO3<5 mmol/l
ph<7.1
K<3.5
Anion gap >16 (Anion gap = [Na+ + K+ ] – [Cl- + HCO3 - ])
Plasma ketone ketone>6
Haemodynamically B: spo2:92 % under RA
unstable C: SBP< 90mmhg, PULSE> 100 beats/min
D: GCS < 12
,
DKA, HHS, HYPOGLYCEMIA,THYROID EMERGENCIES,
ADRENAL CRISIS
,Diabetic ketoacidosis
- Dka is among the most serious acute complications of T2DM.
- Is a state of Absolute Insulin Deficiency
- It has a high mortality rate if it goes unrecognised.
DIAGNOSTIC CRITERIA
CAPILLARY BLOOD GLUCOSE >11 MMOL/L
CAPILLARY KETONES/URINARY KETONE >3/>2+
VBG PH<7.3, HCO3<15MMOL/L
,Parameters for severe DKA
VBG HCO3<5 mmol/l
ph<7.1
K<3.5
Anion gap >16 (Anion gap = [Na+ + K+ ] – [Cl- + HCO3 - ])
Plasma ketone ketone>6
Haemodynamically B: spo2:92 % under RA
unstable C: SBP< 90mmhg, PULSE> 100 beats/min
D: GCS < 12
,
