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Med Surg: Endocrine

DKA vs. HHNSMed Surg: EndocrineFRUITY BREATHABDOMINAL PAINNO FRUITY BREATHHEADACHE &CONFUSIONNO ABDOMINAL PAINDKAHHNST reatmentRe-AssessmentPotassium Pumps MusclesPatho & Causes:Patho & Causes:Signs & SymptomsTreatmentSigns & SymptomsTYPE 1 FASTER & YOUNGER D COMES 1ST IN ALPHABET S SEPSIS (INFECTION) S SICKNESS "STOMACH VIRUS & FLU" (MOST COMMOM)S STRESS (SURGERY)S SKIP INSULIN EASIER FIXD DRY & HIGH SUGAR K KETONES & KUSSMAUL RESP. (DEEP/RAPID/REGULAR RESPIRATIONS AND FRUITY BREATH) A ABDOMINAL PAIN A ACIDOSIS METABOLIC LESS THAN (NORMAL ) HYPERKALEMIA (ABNORMALLY HIGH K+)250-500+D dehydration FIRST! ( normal saline)K Kill the sugar (SLOWLY) prevent low sugar *Hourly BS checks* land the plane slow & smooth Over 250: IV Regular insulin ONLY (bolus 1st) Below 200 (or ketones resolve): SQ insulin + 1/2 NS with D5W IV A Add Potassium K+ (Yes even if norm: - ) During IV Insulin IN-sulin = sugar & K+ IN the cellH Hydration NS 1st, then HYPO tonic S Stabilize Sugars (Insulin) CAUTION: Insulin IV = ONLY Regular Insulin IV bolus IV titration SQ injection & IV SQ onlyCommon NCLEX QuestionQ:Child is nauseous NOT eating maybe vomiting do you still give INSULIN?

because glucose is HIGH during times of illness. NCLEX TIP H–HIGHEST SUGAR OVER-600+ H–HIGHER fluid loss & Extreme dehydration H–Head change–LOC, Confusion, Neurological Manifestations N–No ketones No Acid, (NO fruity breath/ ketones) S–Slower Onset & Stable Potassium (3.5-5.0) NCLEX TIP NCLEX TIP NCLEX TIP NCLEX TIP NCLEX TIP ST ...

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