How do you avoid hypoglycemia when using insulin to treat hyperkalemia? This post provides you with key pearls and pitfalls for your next shift.
Insulin Dosing in Hyperkalemia – Is It a One Size Fits All? Read More »
A 27-year-old female with a history of insulin-dependent diabetes presents to the ED on a Friday evening somnolent and disoriented. Her coworkers report she started slurring her speech and became increasingly altered after they met at a bar after work. Exam reveals a diaphoretic, obtunded female not oriented to person, place, or time. Her GCS is 11. What do you suspect as the diagnosis? What should your first order be?
EM@3AM: Hypoglycemia Read More »
Welcome back to the EM Boards Survival Guide! This emDocs series will provide you with regular tips and must-know items for EM boards and inservice. This week we have endocrine/metabolics, part 1.
EM Boards Survival Guide: Endocrine/Metabolic 1 Read More »
Diabetic ketoacidosis (DKA) is something we that is always on our mind as an EM provider, but have you thought of hyperglycemic hyperosmolar syndrome (HHS)? Learn more in this CORE EM post reviewing this topic.
CORE EM: Hyperglycemic Hyperosmolar Syndrome (HHS) Read More »
A 37-year-old female presents with dysuria, polyuria, polydipsia, and lightheadedness. She has a history of insulin-dependent diabetes but ran out of her glucose strips at home. She has had significant nausea and suprapubic pain. She is tachycardic and tachypneic. Exam reveals dry oral mucosa and suprapubic tenderness. POC glucose is 422 mg/dL. What is the diagnosis, and what are your next steps?
EM@3AM: Diabetic Ketoacidosis Read More »
DKA is a life-threatening condition, with many different “sneaky” triggers. What do you need to consider in the evaluation and treatment of DKA and its many triggers?
Diabetic Ketoacidosis: “Sneaky” triggers and clinical pearls Read More »
Anyone who works in the Emergency Department has seen patients brought in by EMS or sent from the clinic with a chief complaint of “high blood sugar.” Now, we are not talking about patients with diabetic ketoacidosis, but just simple hyperglycemia. This is a common complaint with no real consensus on optimal blood glucose levels before safe discharge.
Hypoglycemia is a common presenting complaint in the emergency department. This post will reveal several tips and tricks for the evaluation and treatment of hypoglycemic patients.
The Adult Hypoglycemic Patient: Tips for Emergency Department Management Read More »
