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FIRST PUBLISH OCTOBER 2024
AACN CCRN Endocrine Exam Study Guide Solutions
Acute Hypoglycemia - Ans:✔✔-<50
DKA mostly precipitated by - Ans:✔✔-INFECTION
Azotemia - Ans:✔✔-Elevation of BUN
DKA - Ans:✔✔-blood glucose >500, increased anion gap, azotemia, ketones in urine
Ketones - Ans:✔✔-produced when insulin cannot turn glucose into energy and instead turns fat into
ketones, Ph <7.32
DKA Tx - Ans:✔✔-1-2L within first 2 hours, d5/.5ns when BG <250, may receive 8-10L in first 24hr, Bicarb
to <potassium
HHNK S/S - Ans:✔✔->800 mg/dL, r/t DM II, osmolality >350, negative ketones, PH >7.3
Severe dehydration, some insulin
HHNK - Ans:✔✔-2L NS in first hour, IV insulin 10 units/hr, give prn K
DI labs - Ans:✔✔-plasma Osm >295
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FIRST PUBLISH OCTOBER 2024
AACN CCRN Endocrine Exam Study Guide Solutions
Acute Hypoglycemia - Ans:✔✔-<50
DKA mostly precipitated by - Ans:✔✔-INFECTION
Azotemia - Ans:✔✔-Elevation of BUN
DKA - Ans:✔✔-blood glucose >500, increased anion gap, azotemia, ketones in urine
Ketones - Ans:✔✔-produced when insulin cannot turn glucose into energy and instead turns fat into
ketones, Ph <7.32
DKA Tx - Ans:✔✔-1-2L within first 2 hours, d5/.5ns when BG <250, may receive 8-10L in first 24hr, Bicarb
to <potassium
HHNK S/S - Ans:✔✔->800 mg/dL, r/t DM II, osmolality >350, negative ketones, PH >7.3
Severe dehydration, some insulin
HHNK - Ans:✔✔-2L NS in first hour, IV insulin 10 units/hr, give prn K
DI labs - Ans:✔✔-plasma Osm >295
Page 1/2
