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https://www.cdc.gov/diabetes/basics/diabetic-ketoacidosis.html
Mar 25, 2021 · Diabetic Ketoacidosis. Elevated ketones are a sign of DKA, which is a medical emergency and needs to be treated right away. Diabetic ketoacidosis (DKA) is a serious complication of diabetes that can be life-threatening. DKA is most common among people with type 1 diabetes. People with type 2 diabetes can also develop DKA.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4085289/
Jun 30, 2014 · Introduction. In 2009, there were 140,000 hospitalizations for diabetic ketoacidosis (DKA) with an average length of stay of 3.4 days. 1 The direct and indirect annual cost of DKA hospitalizations is 2.4 billion US dollars. Omission of insulin is the most common precipitant of DKA. 2, 3 Infections, acute medical illnesses involving the cardiovascular system (myocardial infarction, stroke) and ...Cited by: 119
https://www.choc.org/wp/wp-content/uploads/careguidelines/DiabeticKetoacidosisCareGuideline.pdf
DKA at diagnosis is more common in children < 5 yrs of age Omission of insulin is the leading cause of recurrent DKA in adolescents Causes of Morbidity and Mortality: Cerebral edema, which occurs in 0.5 – 1 % of all episodes of DKA, is the most common cause of mortality in children with DKA, Cerebral edema
https://www.ems1.com/medical-clinical/articles/diabetic-emergencies-ketoacidosis-NAzXjZWtd3FLtvuq/
Aug 18, 2011 · Lab results available at the time of transport were limited to: Glucose — 799 mg/dl CO2 — 3.1 mEq/L ph — 6.77 (venous) Fluid intake — 800 ml 0.9% sodium chloride Urine output — 1400 ml
https://www.msdmanuals.com/professional/endocrine-and-metabolic-disorders/diabetes-mellitus-and-disorders-of-carbohydrate-metabolism/diabetic-ketoacidosis-dka
Adults with diabetic ketoacidosis typically need a minimum of 3 L of saline over the first 5 hours. When blood pressure is stable and urine flow adequate, normal saline is replaced by 0.45% saline. When plasma glucose falls to < 200 mg/dL (< 11.1 mmol/L), IV fluid should be …
https://www.mdanderson.org/documents/for-physicians/algorithms/clinical-management/clin-management-dka-or-hhs-web-algorithm.pdf
Repeat serum potassium every 2 hours until < 5.5 mEq/L Corrected sodium < 147 mEq/L Calculate corrected sodium2 Corrected sodium ≥ 147 mEq/L DKA/HHS Management Additional fluids of 0.9% sodium chloride Give regular insulin 0.15 units/kg IV bolus5,6 every and start regular insulin 0.1 units/kg/hour IV infusion3,6
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