PDF-Diabetic Ketoacidosis DKA Treatment

CLINICAL PATHWAYPage 1of 15ALGORITHMCLINICAL PATHWAYPage 2of 15TABLE OF CONTENTSAlgorithmTarget PopulationBackground DefinitionsInitial EvaluationCerebral EdemaClinical ManagementLaboratoryStudy Imagi. DKA, a subset of ketoacidosis or ketosis in diabetic patients, is atype of acidosis that sually develops when insulin levels are too low or during prolonged fasting. DKA most commonly occurs in patie Mehdi . Modarres. . zadeh. MD. Iran University of Medical Sciences. Kermanshah Retina Seminar. April 2016. Questions. In cases of . vitreomacular. traction associated with DME unresponsive to intravitreal injections, does . Anne Marie Mattingly. Assistant Professor of Medicine. Division of Pulmonary and Critical Care. September 22, 2014. Goals of Treatment. Accurately diagnose DKA and/or HHS. Provide optimal volume resuscitation. Objectives. Introduce a patient case on diabetic ketoacidosis (DKA). Discuss the clinical presentation of DKA. Review the differences between DKA and HHS. Guidelines for DKA treatment and best practices. Clinical Case. 25-year-old male with type 1 diabetes. lantus. 26 units ON and . novorapid. 12 units . TDS. recurrent attendances with . DKA. admitted with 24h history of vomiting and abdominal . pain. Failure to take insulin. Failure to increase insulin. Illness/Infection. Pneumonia. MI. Stroke. Acute stress. Trauma. Emotional. Medical Stress. Counterregulatory hormones. Oppose insulin. Stimulate glucagon release. Sarah Kandil MD. November 14. th. 2019. Date. Disclosure/COI. Co-Investigator for Pfizer PHASE 1 study assessing pharmacokinetics, safety and tolerability of ceftazidime-avibactam (. caz-avi. ) in children.. Paediatric emergency medicine . spr. Learning outcomes. Be able to diagnose DKA. Start appropriate management. Discuss recent research / updates. Prescribing session. introduction. incidence of DM . 25 per 100 000 . Tom Heaps. Consultant Acute Physician. Case 1. 82-year-old Caucasian female with T2DM (>30 years) and HTN. BMI 19. Metformin. 500mg TDS , . Gliclazide. 40mg BD, . Ramipril. 5mg OD. Admitted with 1/52 of increasing drowsiness, confusion and reduced oral intake. ( DKA ) Critical Care Guideline – Two Bag System Inclusion Criteria ( Definition of DKA ):  Blood glucose ( BG ) � 200 mg / dl  Acidosis ( bicarbonate 15 or blood gas pH 7 . page ITC1-2 page ITC1-5 Treatmentpage ITC1-9 Practice Improvementpage ITC1-14 page ITC1-16 Christine Laine, MD, MPHBarbara J. Turner, MD, MSEDSankey Williams, MDJennifer F. WilsonThe content of In the Author: Leigh Vaughn DKA definition : Elevated glucose, presence of ketones, metabolic acidosis (triad) + dehydration, with absolute or relative insulin deficiency  increase counter regulator ho and . HYPEROSMOLAR HYPERGLYCAEMIC STATE (HHS). By. Dr Shamanth Soghal. JSD FY2- Medical Rotations. Queen Elizabeth Hospital Birmingham. OBJECTIVES. THINGS NOT COVERED:. Hypoglycemia. Euglycemic DKA. Insulinomas. ). Acute:. 1. Diabetic . Ketoacidosis. . 2. Hyperglycemic . Hyperosmolar. state. 3. Hypoglycemia: (patients under treatment). complications. Diabetic . Ketoacidosis. and . Hyperosmolar.