PPT-DKA DKA Precipitating Factors

Failure to take insulin Failure to increase insulin IllnessInfection Pneumonia MI Stroke Acute stress Trauma Emotional Medical Stress Counterregulatory hormones Oppose insulin Stimulate glucagon release. 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 Participants will be able to understand:. What ketones are. Why ketones are monitored. When ketones should be monitored. When to contact the parent/guardian or healthcare provider. Participants will be able to demonstrate:. What We Will Discuss. Major electrolytes, too low, too high and what to do. Common fluid and electrolyte issues that we see everyday in the PICU. And of course . lots multiple . choice questions. What We Will Not Discuss. Form revisions. New standard insulin infusion concentration. Directions for Completion. The program.  . Insulin Infusion and DKA Physician . Orders . has been developed to introduce NEW standard concentration for insulin infusions and streamlined. A Look Back on Diabetes in 2015 to Look Forward in 2016 Alan B Cortez, MD May 14, 2016 Pediatric Endocrinology Kaiser Permanente Orange County Categories of Review rather than Preview (Research) Education 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. 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. Journal of Current Med ical And Applied Sciences, 2015, July, 7(2), 133 - 138 . IJCMAAS,E - ISSN:2321 - 9335,P - ISSN:2321 - 9327. Page | 1 33 Prec ipitating Factors of Metabolic Ence ( 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 . Insulinomas. ). Acute:. 1. Diabetic . Ketoacidosis. . 2. Hyperglycemic . Hyperosmolar. state. 3. Hypoglycemia: (patients under treatment). complications. Diabetic . Ketoacidosis. and . Hyperosmolar.