【医学ppt课件】常見內科疾病處置-中毒、糖尿病与癫痫课件.pptVIP

6/22/2006 First Responder Training * Complications prognosis of DKA Poor prognosis in higher serum osmolarity, BUN, Glucose. HCO3- 10 mEq/L : increased mortality. Old age, shock, coma : high mortality. Major complications : hypoglycemia, hypokalemia, hypophosphatemia, ARDS and cerebral edema. 6/22/2006 First Responder Training * Criteria of Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS) Poorly-controlled type 2 DM + severe hyperglycemia, hyperosmolarity, and relative lack of ketonemia. (American Diabetes association) Sugar 400 mg/dL plasma osmolarity 315 mosm/kg. Serum bicarb