AACN CCRN Endocrine
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
Serum Na >
Urine Osm <250
Urine specific gravity <1.005
Urine Specific Gravity - ANS 1.005-1.030
DI Tx - ANS Neuro: Give dexmopressin, fix brain
Renal: Sometimes can't fix kidney in failure, give THIAZIDE DIURETIC
SIADH - ANS Urine Osm >100
Urine gravity >1.030
SIADH Tx - ANS give Na, 3% NS, fluid restrict, Diuretics
