When doing an ekg to evaluate for toxic ingestions, you want to look for qrs widening, pr prolongation, but also check lead AVR for a “terminal R wave” which is indicative of TCA usage #CincyAI
You can have blood sugars >1000 in DKA. When differentiating between DKA and HHS, the main lab characteristics unique to DKA are arterial pH <7.3, bicarbonate<18, presence of serum/urine ketones #CincyAI
When performing a lac repair, try to stay shallow, the more subq tissue you involve with your stitch, the more tension there will be on the stitch and can lead to longer healing times #CincyAI