PPT-Diabetic Ketoacidosis (DKA)

Endocrine Block Diabetic Complications Ketone bodies metabolism DKA Definition Causes and Mechanisms Manifestations Precipitating Factors Hyperosmolar hyperglycaemic state HHS . brPage 1br DEVILE EGGS BACON JALAPE57553O SOUR CREAM 6 UFFIN TOPS 5 CONES AN JAM 6 AIL Y DOUGHNU 6 RILLE HICK CU BACON 5 APLE OURBON ACON 8 REAKFAS ORN DOG 9 RUI BOWL GRANOLA OGHUR M 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 Hyperglycemic Crises. Diabetic Ketoacidosis . Hyperglycemic Hyperosmolar State. 1. Overview. 2. DKA and HHS Are Life-Threatening Emergencies. Diabetic Ketoacidosis. . (DKA). Hyperglycemic Hyperosmolar State. Today in Lab… Digestion Hepatic Portal System Blood Glucose Insulin Shock DKA ** Next lab is comprehensive lab mid-term. Labs 1-5 inclusive. Digestive System = Gastrointestinal (GI) Tract Hepatic Portal System & Liver Functions CLINICAL PATHWAYPage 1of 15ALGORITHMCLINICAL PATHWAYPage 2of 15TABLE OF CONTENTSAlgorithmTarget PopulationBackground DefinitionsInitial EvaluationCerebral EdemaClinical ManagementLaboratoryStudy Imagi 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.  . Ann Going & Chris Hall. 2020. Ketones. DKA IS A DANGEROUS AND POTENTIALLY LIFE THREATENING CONDITION WITH EARLY APPROPRIATE MEDICAL INTERVENTION ESSENTIAL.. What are . Ketones. Metabolism of fats can provide the body with energy when glucose is not available to the cells. October 2019. DKA background. Diagnosis. Hyperglycemia (glucose > 200). Acidosis (venous pH < 7.3). Ketosis (urine or serum ketones). Risk factors. Not previously diagnosed with diabetes. 1/3 of children with type 1 diabetes first present with DKA. Dr. S. . Parthasarathy. . MD., DA., DNB, MD (. Acu. ), Dip. . Diab. . DCA, Dip. Software . statistics . PhD . (. physio. ). Mahatma Gandhi Medical college and research institute , . puducherry. India . TYPE 1 DIABETES. prevalence. ~1 in 400 children <20 years affected. lifetime risk ~1 in 250. incidence. 1 new case per ~5,000 children per year. incidence appears to be rising ~3%/year. most affected: 0–5 year range. 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. diabetes. Type 1: insulin-dependent. Hereditary. Need daily insulin injections. Type 2: non insulin-dependent. Doesn’t produce enough insulin or resistant. Controlled by diet or oral hypoglycemic drugs. and . HYPEROSMOLAR HYPERGLYCAEMIC STATE (HHS). By. Dr Shamanth Soghal. JSD FY2- Medical Rotations. Queen Elizabeth Hospital Birmingham. OBJECTIVES. THINGS NOT COVERED:. Hypoglycemia. Euglycemic DKA.