PDF-DKA is one of the major acute diabetic complications.It usually occurs

Howard Fishbein DrPH and PJ Palumbo MD SUMMARYhe acute metabolic complications of diabetesconsist of diabetic ketoacidosis DKA hyperosmolar nonketotic coma HNC lactic DIABETIC KETOACIDOSI. It usually occurs in the context of total insulin defi ciency such as in insulindependent diabetes mellitus IDDM It occurs rarely in noninsulindependent diabetes mellitus NIDDM under the stress of acute illness When DKA occurs in patients with NIDDM Emergencies. . . Dr.Hicham. Al . Mawla. . Class . Outline . •Diabetic emergency/. Glucometer. training . •Identify the different signs of insulin shock . •Diabetic coma, and HHNK . 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. 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. 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. iabetes . M. ellitus. Dr. Hasan Fahmawi, MRCP(UK),FRCP(. Edin. ). . DIABETIC KETOACIDOSIS. Acute complications of D.M.. DKA.. Hypoglycaemia. .. Hyperglycaemic. Hyperosmolar State (HHS). DKA. Definition: it is a medical emergency, and remains a serious cause of morbidity, principally in type 1 diabetes. Mortality in the UK is 2%, which is caused by cerebral . 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 . *. Hypocalcemia . (Clinical Findings, and treatment).. *. Hypomagnesaemia . (Clinical Findings, and treatment).. Infant of diabetic mother (IDM).  . Women with diabetes mellitus during pregnancy (Type 1, Type 2) are . P294V 57 15, 2020 P295V 57 15, 2020DITORIALin DKA is to avoid DKA. The study by Agarwal, et al et alhighlights the critical importance of early diagnosis ofnew onset T1DM before the patient has prog Author: Leigh Vaughn DKA definition : Elevated glucose, presence of ketones, metabolic acidosis (triad) + dehydration, with absolute or relative insulin deficiency  increase counter regulator ho 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. www.nice.org.uk/guidance/ng19. LOW RISK. Normal Sensation. Normal Foot. Pulses. Manage. in GP. Practice. Annual Check. Education on Self Care and Monitoring. Check. Footwear . Moderate. Risk.