DKA

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Across
  1. 5. Critically ill patients with severe hyperglycemia resulting from DKA should be treated immediately with a bolus of (2 words)
  2. 7. "The Five I's" in the differential diagnosis for the cause of hyperglycemic crisis include infarction, infant (pregnancy), indiscretion (drug ingestion), insulin lack (nonadherence or inappropriate dosing), and ________
  3. 9. This guy (last name) described the deep and labored breathing seen in DKA
  4. 10. Symptoms of DKA include vomiting, __________, deep gasping breathing, confusion and occasionally coma.
  5. 12. A ketotic odor on a DKA patients breath is often described as _________
  6. 13. This counterregulatory hormone increases during DKA
  7. 14. ________ function may be impaired in DKA as a result of dehydration
  8. 15. It sounds like a good idea, but studies have shown that IV __________ should only be used in patients with severe acidosis (pH < 6.9) (Hint: The resident suggested giving this in our case and the attending was annoyed)
  9. 17. Insulin can decrease __________ levels in the blood and cause dangerous irregularities in the heart rate
  10. 18. This painful "draw" is usually performed to demonstrate acidosis in DKA (acronym)
Down
  1. 1. DKA has an annual cost of about $2.4 ________ in the united states, up to half of the total cost of caring for people with type I diabetes
  2. 2. DKA is distinguished from other diabetic emergencies by the presence of large amounts of __________ in blood and urine.
  3. 3. The American Diabetes Association has categorized DKA as mild, moderate, and severe. _______ can only occur in the severe category
  4. 4. Young patients with recurrent episodes of DKA may have an underlying __________ (2 words, hint: There was a lecture about this yesterday)
  5. 6. Though rare in adults, _______ edema occurs in .3-1% of children with DKA
  6. 8. The absence of insulin leads to the release of ________ (2 words) from adipose tissue
  7. 11. DKA is caused by a shortage of ________
  8. 16. A 1998 study published in the Archives of Internal Medicine determined that this illegal drug's use was a risk factor for diabetic ketoacidosis, either because of its effects on counter-regulatory hormones or because of the individual’s subsequent tendency to omit insulin doses.