Every threshold cites its original source with a DOI/PMID you can verify. HHS (ADA/EASD/JBDS CESCAC Y SERVICIOS · GEOMED HEALTH2024) CENTER 3. Fluids: phase 1 resuscitation, phase 2 replacement, when to add dextrose 5. Insulin: IV infusion protocol, the no-bolus evidence, subcutaneous alternative 6. Every threshold cites its original source with a DOI/PMID you can verify. It assumes you already know how to read an ABG and order labs; it does not replace your unit's written protocol, and every drug dose must be checked against your institution's formulary.
What's inside this download:
- DKA_HHS_ICU_Reference_EN.pdf (12-page PDF)
- DKA_HHS_Calculator.xlsx
- README.txt
What it covers:
- Serum HCO3 (mEq/L)15-18
- Effective osmolality variable
- CESCAC · DKA & HHS ICU Reference
- Serum K+ (mEq/L)
- Case 1 – New-onset type 1 diabetes, severe DKA
- Case 2 – Insulin-omission relapse, moderate DKA, subcutaneous candidate
- Case 3 – Euglycemic DKA on an SGLT2 inhibitor
- Case 4 – HHS in an elderly nursing-home patient
- Only if pH <6.9, and even then evidence is weak
Instant download after payment, no subscription: all you need is a PDF reader and any spreadsheet app (Excel, Google Sheets, or LibreOffice).
Sold by CESCAC Productos y Servicios S.A.S. — Guayaquil, Ecuador. Digital products since 2024.
Before you buy: you need Excel or Google Sheets to open the spreadsheets. One-time payment, instant download. 7-day guarantee: if the file will not download, arrives damaged or is not what you bought, we resend it or refund you (WhatsApp +593 93 923 0827).
Copy any PMID or DOI above and verify it yourself on PubMed or doi.org.
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Educational reference material for healthcare professionals. Not medical advice, not a diagnostic device, and not a substitute for clinical judgment or your institution protocols.
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