Every threshold cites its original source with a DOI/PMID you can verify. HHS (ADA/EASD/JBDS CESCAC Y SERVICIOS · GEOMED HEALTH2024) CENTER 3. Fluids: phase 1 resuscitation, phase 2 replacement, when to add dextrose 5. Insulin: IV infusion protocol, the no-bolus evidence, subcutaneous alternative 6. Every threshold cites its original source with a DOI/PMID you can verify. It assumes you already know how to read an ABG and order labs; it does not replace your unit's written protocol, and every drug dose must be checked against your institution's formulary.
What's inside this download:
- DKA_HHS_ICU_Reference_EN.pdf (12 page PDF)
- DKA_HHS_Calculator.xlsx
- README.txt
What it covers:
- Serum HCO3 (mEq/L)15-18
- Effective osmolality variable
- CESCAC · DKA & HHS ICU Reference
- Serum K+ (mEq/L)
- Case 1 -- New-onset type 1 diabetes, severe DKA
- Case 2 -- Insulin-omission relapse, moderate DKA, subcutaneous candidate
- Case 3 -- Euglycemic DKA on an SGLT2 inhibitor
- Case 4 -- HHS in an elderly nursing-home patient
- Only if pH <6.9, and even then evidence is weak
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