DKA & HHS: The ICU Clinician's Diagnosis, Fluid, Insulin & Electrolyte Reference: what is inside, who it is for and how to use it

DKA & HHS: The ICU Clinician's Diagnosis, Fluid, Insulin & Electrolyte Reference is a digital product we publish and sell from our own store. This page exists so you can read what is actually inside before you decide, instead of buying from a headline.

Everything below is taken from the product sheet on the store page: same description, same price, same files. The price is USD 17.00, paid once, and the download is issued right after payment.

What is inside

Taken from the product sheet on our store page, unchanged:

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.

Antes de comprar: necesitas Excel o Google Sheets para abrir las hojas; el archivo esta en INGLES. Pago unico, descarga inmediata. Garantia 7 dias: si el archivo no baja, llega danado o no corresponde a lo comprado, lo reenviamos o te devolvemos tu dinero (WhatsApp +593 93 923 0827).

Who it is for

• Readers who recognise the situation described in the summary above
• Anyone who prefers a one-time purchase over a subscription
• People who want files they keep, not access that expires

How you actually use it

• Buy once on the store page and download the files immediately
• Keep the files locally, or print the parts you use most
• Come back to the same download link when we publish an update

What it is not

This is reference and template material, not a service and not personalised advice. It does not replace a professional who knows your specific situation, and nothing here is a promise of a result. Where the description above states a scope or a disclaimer, that scope is the whole of what you get.

Questions we get

Bottom line

If what you read above matches what you were looking for, the store page has the full sheet, the file list and the checkout. If it does not, that is a useful answer too.

CESCAC Productos y Servicios S.A.S. · RUC 0993389404001 · Los Ríos #609, Guayaquil, Ecuador · Digital store · Contact