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DKA vs HHS | Endocrine System (Part 4)

For lesson 4, we are taking a look at DKA vs HHS. Diabetic ketoacidosis vs hyperosmolar hyperglycemic state. These are 2 hyperglycemic emergencies that we will often see in caring for our patients in the ICU.

We start off talking about DKA and what exactly DKA is and the defining characteristics. We also talk about the causes that lead out patients in to DKA. From there we take a deep dive in to the pathophysiology of DKA and fully break it down in a way in which hopefully will make it easy to follow and understand. Finally we talk about the signs and symptoms that you will see with DKA.

Next we move on and talk about HHS and how it is defined and its characteristics, compared to DKA. We talk about the causes being very similar to that of DKA, and then move in to talk about the pathophysiology and most importantly, how it differs from DKA. This leads us in to talking about some of signs and symptoms of DKA that are not seen in HHS.

Finally we cover the treatment of both of these hyperglycemia emergencies. The treatment is almost exactly the same for both of these focusing on 4 major areas of treatment.

Hopefully at the end of this lesson you will have a much better understanding of both DKA and HHS as well as the ways in which they are similar as well as the ways in which they are different and how we would reco

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Coming up in the next lesson, we will be taking a look at DI vs SIADH:

Don't forget to check out the playlist for this series of lessons here:

Also check out these other great lessons and series of lessons below!

Hemodynamics Principals:
Shock:
Arterial Blood Gases:
ECG/EKG Rhythm Interpretation:
Heart Failure:

Blood Tubes – Order of Draw:
Glasgow Coma Scale:

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27 comments

  1. Teema Boysal

    Thank you so much guys! I finally can figure out the difference between the two without getting too heavy on the terminology. Well set out with the patho, causes and characteristics and such a simple explanation to follow AND understand.

  2. ICU Advantage

    Thank you guys so much for watching! Please leave us a like if you enjoyed the video. We truly do appreciate it! Also we love hearing your comments so feel free to tell us what you think of the video. We hope that after this lesson, you will have a good understanding of the differences between DKA and HHS. They are quite similar when it comes to treatment and some of the pathophysiology, but they are very different disorders arising from very different situations.

    Don’t forget to check out these other great lessons that we have available!
    Hemodynamics: https://www.youtube.com/playlist?list=PL2oVjKTYocdMBZlcIcWlESbOFFaGugQS2
    Shock: https://www.youtube.com/playlist?list=PL2oVjKTYocdPP0K8Fi49GfUgprICS-xMf
    Blood Tubes – Order of Draw: https://youtu.be/mAmwdDdbkUI
    Arterial Blood Gases: https://www.youtube.com/playlist?list=PL2oVjKTYocdMz1qF-3iS6iUZ-R_fKbeJw
    ECG/EKG Interpretation: https://www.youtube.com/playlist?list=PL2oVjKTYocdPMaNwn4xbg6xAIaAnyraMj
    Glasgow Coma Scale: https://youtu.be/zYwJVPIjW6I
    Heart Failure: https://www.youtube.com/playlist?list=PL2oVjKTYocdNdFoS31yGhylKwib9lRf73

    Don’t forget to check us out and give us a like on Facebook as well! https://www.facebook.com/ICUAdvantage

    1. ICU Advantage

      Congrats Matthew! Thats awesome to hear and so glad these have been helpful for you! I really wish I had more time to make many more. Especially now, free time is not in my favor. Working to keep getting more videos up during this time though.

  3. Antonio Moore

    Thank you so much for this information, I have listened to a lot of presentations but yours is the best that I have ever heard. Thank you so much for keeping it simple, while at the same time going in-depth into what causes these conditions to occur

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