Related Subjects:
Type 1 DM |
Type 2 DM |
Diabetes in Pregnancy |
HbA1c |
Diabetic Ketoacidosis (DKA) Adults |
Hyperglycaemic Hyperosmolar State (HHS) |
Diabetic Nephropathy |
Diabetic Retinopathy |
Diabetic Neuropathy |
Diabetic Amyotrophy |
Maturity Onset Diabetes of the Young (MODY) |
Diabetes: Complications |
DKA is typically seen in Type 1 Diabetes but a significant number of causes occur in Type 2 Diabetes and it usually comes on over several days and should be preventable. Give a fixed-rate infusion the goal is to correct ketones and dehydration secondly the glucose
Re-assessment of cardio-vascular status at 12 hours is mandatory, further fluid may be required
Initial Management Summary
Introduction
Definition
Typical deficits in DKA in adults
Cause
Clinical
Markers that indicate consideration for HDU
Investigation
Management: Fluids (70 kg man) 6L in first 18 hrs
Potassium per bag in first 24 hours
Insulin: Do not use a priming (bolus) dose of insulin
Glucose
Recommended Treatment goals
Complications
Condensed Pathway
Link here
References
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Diabetic Ketoacidosis (DKA) Adults
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