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<table class=wikitable>
{{ACM}} {{SemRikken}}
<tr>
<td> <td>'''Mild DKA'''<td>'''Moderate DKA'''<td> '''Severe DKA''' <td>'''HHS'''
<tr>
<td>'''Plasma [[glucose]]''' <td> >250 mg/dL <td>>250 mg/dL <td>>250 mg/dL <td>>600 mg/dL
<tr>
<td>'''Arterial pH'''<td> 7.25-7.30<td> 7.00 to <7.24<td> <7.00<td> >7.30
<tr>
<td>'''Serum [[bicarbonate]] (mEq/l)'''<td> 15-18<td> 10 to <15<td> <10 <td>>18
<tr>
<td>'''Urine [[ketone]]'''<td> Positive<td> Positive<td> Positive<td> Small
<tr>
<td>'''Serum [[ketone]]'''<td> Positive<td> Positive<td> Positive<td> Small
<tr>
<td>'''Effective serum [[osmolality]]'''<td> Variable<td> Variable<td> Variable<td> >320 mOsm/kg
<tr>
<td>'''Anion gap'''<td> >10 <td> >12 <td> >12 <td> Variable
<tr>
<td>'''Mental status'''<td> Alert<td> Alert/drowsy<td> Stupor/coma<td> Stupor/coma
</table>




 
''SANDBOX''
{{familytree/start}}
[[File:Captura de Pantalla 2024-05-18 a la(s) 9.33.11 p.m..png]]
{{familytree | | |!| |}}
{{familytree | | A01 | A01 =<table class="v-table">
<tr class="v-firstrow"><th>123</th><th>Mild DKA</th><th>Moderate DKA</th><th>Severe DKA</th><th>HHS</th></tr>
<tr><td>Plasma glucose</td><td> >250 mg/dL</td><td>>250 mg/dL</td><td>>250 mg/dL</td><td>>600 mg/dL</td></tr>
<tr><td>Arterial pH</td><td> 7.25-7.30</td><td> 7.00 to <7.24</td><td> <7.00</td><td> >7.30</td></tr>
<tr><td>Serum bicarbonate (mEq/l)</td><td> 15-18</td><td> 10 to <15</td><td> <10</td><td>>18</td></tr>
<tr><td>Urine ketone</td><td> Positive</td><td> Positive</td><td> Positive</td><td> Small</td></tr>
<tr><td>Serum ketone</td><td> Positive</td><td> Positive</td><td> Positive</td><td> Small</td></tr>
<tr><td>Effective serum osmolality</td><td> Variable</td><td> Variable</td><td> Variable</td><td> >320 mOsm/kg</td></tr>
<tr><td>Anion gap</td><td> >10</td><td> >12</td><td> >12</td><td> Variable</td></tr>
<tr><td>Mental status</td><td> Alert</td><td> Alert/drowsy</td><td> Stupor/coma</td><td> Stupor/coma</td></tr>
</table>}}
{{familytree/end}}
 
 
==table HIT==
 
{| class="wikitable"
 
!
 
! Score = 2
 
! Score = 1
 
! Score = 0
 
|-
 
| '''Thrombocytopenia''' <br> Compare the highest platelet count within the sequence of declining platelet counts with the lowest count to determine the % of platelet fall. <br> (Select only 1 option)
 
| ♦ > 50% platelet fall AND nadir of ≥ 20 AND no surgery within preceding 3 days                                                                 
 
| ♦ > 50% platelet fall BUT surgery within preceding 3 days OR <br> ♦ any combination of platelet fall and nadir that does not fit criteria for score 2 or score 0 (eg. 30-50% platelet fall or nadir 10-19)
 
| ♦ < 30% platelet fall <br> any platelet fall with nadir < 10
 
|-
 
| '''Timing (of platelet count fall or thrombosis)''' <br> Day 0 = first day of most recent heparin exposure <br> (Select only 1 option)
 
| ♦ platelet fall day 5-10 after start of heparin <br> ♦ platelet fall within 1 day of start of heparin AND exposure to heparin within past 5-30 days
 
| ♦ consistent with platelet fall days 5-10 but not clear (eg. missing counts) <br> ♦ platelet fall within 1 day of start of heparin AND exposure to heaprin in past 31-100 days <br> ♦ platelet fall after day 10
 
| ♦ platelet fall ≤ day 4 without exposure to heaprin in pas 100 days
 
|-
 
| '''Thrombosis (or other clinical sequelae)''' <br> (Select only 1 option)
 
| ♦ confirmed new thrombosis (venous or arterial) <br> skin necrosis at injection site <br> ♦ anaphylactoid reaction to IV heparin bolus <br> ♦ adrenal hemorrhage
 
| ♦ recurrent venous thrombosis in a patient receiving therapeutic anticoagulants <br> ♦ suspected thrombosis (awaiting confirmation with imaging) <br> ♦ erythematous skin lesions at he heparin onjection sites
 
| ♦ thrombosis suspected
 
|-
 
| '''Other causes for thrombocytopenia''' <br> (Select only 1 option)
 
| ♦ no alternative explanation for platelet fall is evident
 
| Possible other cause is evident: <br> ♦ sepsis without proven microbial source <br> ♦ thrombocytopenia associated with initiation of ventilator <br> ♦ other
 
| Probable other cause present: <br> ♦ within 72 h of surgery <br> ♦ confirmed bacteremia/fungemia <br> ♦ chemotherapy or radiation within past 20 days <br> ♦ DIC due to non-HIT cause <br> ♦ posttransfusion purpura (PTP) <br> ♦ platelet count < 20 AND given a drug implicated in causing D-ITP <br> ♦ non-necrotizing skin lesions at LMWH injection site <br> ♦ other
 
|-
|}

Latest revision as of 21:12, 21 October 2024