PPT-Hyperglycemia: DKA and HHS

Anne Marie Mattingly Assistant Professor of Medicine Division of Pulmonary and Critical Care September 22 2014 Goals of Treatment Accurately diagnose DKA andor HHS Provide optimal volume resuscitation. HHS Ignite hhs.gov/idealab hhs.gov/idealab U.S. Department of Health and Human Services 0 hhs.gov/idealab U.S. Department of Health and Human Services National Institutes of Health NCI NEI NHLBI R. esistance and Diabetes. Alfred Martello, MD. Medical Director. The Ohio Anesthesia Group. Disclosures. No Commercial endorsements. I’m not really smart enough to give this lecture.. It’s really complicated stuff.. Rashida Dorsey, PhD, MPH. Department of Health and Human Services. Office of the Assistant Secretary for Planning and Evaluation. Affordable Care Act Section 4302. Understanding Health Disparities: Data Collection and Analysis. Form revisions. New standard insulin infusion concentration. Directions for Completion. The program.  . Insulin Infusion and DKA Physician . Orders . has been developed to introduce NEW standard concentration for insulin infusions and streamlined. Hyperglycemic Crises. Diabetic Ketoacidosis . Hyperglycemic Hyperosmolar State. 1. Overview. 2. DKA and HHS Are Life-Threatening Emergencies. Diabetic Ketoacidosis. . (DKA). Hyperglycemic Hyperosmolar State. Objectives. Introduce a patient case on diabetic ketoacidosis (DKA). Discuss the clinical presentation of DKA. Review the differences between DKA and HHS. Guidelines for DKA treatment and best practices. Failure to take insulin. Failure to increase insulin. Illness/Infection. Pneumonia. MI. Stroke. Acute stress. Trauma. Emotional. Medical Stress. Counterregulatory hormones. Oppose insulin. Stimulate glucagon release. An Overview. Office of the Assistant Secretary for Planning and Evaluation (ASPE). Strategic Planning Team. 1. Purpose of the Strategic Plan. Required by the Government Performance and Results Act (GPRA) Modernization Act of 2010. Paediatric emergency medicine . spr. Learning outcomes. Be able to diagnose DKA. Start appropriate management. Discuss recent research / updates. Prescribing session. introduction. incidence of DM . 25 per 100 000 . Tom Heaps. Consultant Acute Physician. Case 1. 82-year-old Caucasian female with T2DM (>30 years) and HTN. BMI 19. Metformin. 500mg TDS , . Gliclazide. 40mg BD, . Ramipril. 5mg OD. Admitted with 1/52 of increasing drowsiness, confusion and reduced oral intake. 9/21 Page 1 Secretary : X avier B ecerra Department: Department of Health and Human Services (HHS) History & Mission: The Department of Health and Human Services (HHS) is the United States governmen Supporting, Improving, Caring August 2012 The Management of Adults with Diabetes undergoing Surgery and Elective Procedures: improving www.diabetes.nhs.uk ForewordIntroduction Definition and diagnosis presented. are those of the author and shall not be construed as the official position or policy, nor any endorsement, by HHS, the Federal Government, or the Maryland Department of Health.. join the youth advisory board. Recognition, prevention, Treatment. What is Hypoglycaemia?. Blood glucose below 4mmol/l. Common in people with Type 1 Diabetes and in people with Type 2 when treated with insulin or . sulphonylureas.