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Ketoacidosis is a serious complication of diabetes. It is commonly precipitated by poor adherence to medication, stress and concurrent illness; it can be life threatening if it is not addressed quickly and effectively. This article discusses the pathophysiology, diagnosis and management of the condition, and highlights the nurse's role in this.
21 de mar. de 2015 · Diabetic ketoacidosis (DKA) is an acute, major, life-threatening complication of diabetes that mainly occurs in patients with type 1 diabetes, but it is not uncommon in some patients with type 2 diabetes. This condition is a complex disordered metabolic state characterized by hyperglycemia, ketoacidosis, and ketonuria.
Diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome (HHS) are life threatening complications that occur in patients with diabetes. In addition to timely identification of the precipitating cause, the first step in acute management of these disorders includes aggressive administration of intravenous fluids with appropriate replacement of electrolytes (primarily potassium).
Developments in management. Recent developments now allow us to focus on the underlying metabolic abnormality (ketonaemia), which simplifies the treatment of those who present with modest elevation of blood glucose but with acidosis secondary to ketonaemia ‘euglycaemic diabetic ketoacidosis’. 2,3 Blood glucose is routinely checked at the bedside, but portable ketone meters now also allow ...
1 de nov. de 2023 · Abstract. Diabetic ketoacidosis (DKA) is an acute life-threatening emergency in patients with diabetes, it can result in serious morbidity and mortality. Management of DKA requires reversing metabolic derangements, correcting volume depletion, electrolyte imbalances and acidosis while concurrently treating the precipitating illness.
The management of diabetic ketoacidosis in adults JBDS 02 Management of adults with diabetes undergoing surgery and elective procedures: improving standards JBDS 03 Self-management of diabetes in hospital JBDS 04 Glycaemic management during the inpatient enteral feeding of stroke ...
Insulin administration (i) Insulin should be infused intravenously at a weight-based fixed rate until the ketosis has resolved. (ii) When the blood glucose falls below 14 mmol/l, 10% glucose should be added to allow the fixed-rate insulin to be continued. (iii) If already taking, long-acting insulin analogues such as insulin glargine (Lantus ...
