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DKA vs HHS: 2024–2025 Critical Care Mastery Guide

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This 2024–2025 guide is a high-yield, clinically focused comparison of Diabetic Ketoacidosis (DKA) and Hyperosmolar Hyperglycemic State (HHS)—two life-threatening diabetic emergencies. It covers the latest diagnostic criteria, overlapping features, key differentiators, acid-base disturbances, lab interpretations, and step-by-step treatment protocols. With a special focus on fluid management, electrolyte correction, and insulin therapy, the guide empowers healthcare providers and students to confidently identify, treat, and prevent complications of both DKA and HHS. Visual cues like fruity breath, Kussmaul respirations, and altered mental status are integrated into clinical case examples for practical application.

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DKA vs HHS: 2024–2025 Critical Care
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DKA vs HHS: 2024–2025 Critical Care

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Uploaded on
June 29, 2025
Number of pages
12
Written in
2024/2025
Type
Exam (elaborations)
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DKA VS HHS REVISIONS
QUESTIONS WITH ANSWERS
NEW GENERATED 2024-2025
What are the overlapping features of DKA and HHS?
hyperglycemia
dehydration
hyperkalemia
What is the prominent feature of DKA?
ketoacidosis
Why does DKA occur?
results from elevated glucagon levels ad absolute insulin defieicncy
Prominent feature of HHS?
ecfv depletion and hyperosmolality- as a result of hyperglycemia
what type of acid base imbalance is shown with DKA?
metabolic acidosis
how high is the glucose with DKA?
> 250 mg/dL
how low is the bicarb with DKA?
< 18 mEq/L
who has an anion gap DKA or HHS?
DKA
what is the anion gap with DKA?
> 12
what is the CVP with DKA and HHS?
normal or low
what does a low CVP indicate?
dehydration
what two labs are elevated with DKA and HHS and why?
BUN and creatine because they are losing volume
what two labs are low due to polyuria with DKA and HHS?
sodium and potassium
what is the GFR with DKA & HHS?
low
what is better for a patient with DKA & HHS, Grahm crackers or salt crackers?
graham crackers

, what type of sensory issue will be seen in both DKA and HHS?
hypoperfusion causing loss of perception
what type of sensory issue with HHS have?
visual disturbances
what type of tissue integrity issue will be seen in both in DKA & HHS, and what
do we do due to this?
wound healing due to hypoperfusion so check food care
DKA or HHS:
happens with patients who are undiagnosed but seen with type 1 diabetes but
can also happen with type 2
DKA
DKA or HHS:
acute complication
DKA
what are risk factors with DKA?
Pregnancy
Trauma
Stress
Illness
Infection
UTI is most common
Surgery
New onset of type 1 diabetes
Omission of insulin
Mismanagement of sick days
Not taking insulin
Insulin pump malfunction
Corticosteroids
Sugary drinks
what is something genetically that can cause DKA & HHS?
diabetes
what is a chronic condition that can cause DKA & HHS?
lupus
what is a lifestyle that can cause DKA & HHS?
sedentary lifestyle
what medication can cause DKA & HHS and how?
steroids can increase blood sugar
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