Diabetic Ketoacidosis Treatment Harrison

Perhaps surprisingly the most common complications of diabetic ketoacidosis are related to this lifesaving treatment. Cerebral oedema is the key life threatening complication of dka.

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Treatment of dka glucose administration plasma glucose reaches 250 mg dl in dka or 300 mg dl in hhs decrease the insulin infusion rate to 0 05 0 1 unit kg h 3 6 units h add dextrose 5 10 to the intravenous fluids.

Diabetic ketoacidosis treatment harrison. The treatment for diabetic ketoacidosis is insulin fluids and electrolyte therapy. You ll receive fluids either by mouth or through a vein intravenously until you re rehydrated. You will receive a large volume of fluids intravenously through a vein and insulin to lower your blood sugar and to correct the acidosis.

Diabetic ketoacidosis requires treatment in a hospital often in the intensive care unit. Diabetes mellitus diabetes phone calls diabetes mellitus and surgery key points. Diabetic ketoacidosis can be prevented by taking insulin as prescribed and monitoring glucose and ketone levels.

People with diabetes can monitor their own ketone levels when unwell and seek help if they are elevated. Diabetic ketoacidosis dka is a buildup of acids in your blood it can happen when your blood sugar is too high for too long. Electrolytes are minerals in your blood that carry an electric charge such as sodium.

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. Close attention to serum k and administration of kcl is essential given that the correction of insulinopenia can cause profound hypokalemia the administration of alkali in anion gap acidoses is controversial and is rarely appropriate in dka. Diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome hhs are life threatening complications that occur in patients with diabetes.

Dka responds to insulin therapy and aggressive hydration. Treatment of metabolic acidosis depends on the cause and severity. The main aims in the treatment of diabetic ketoacidosis are replacing the lost fluids and electrolytes while suppressing the high blood sugars and ketone production with insulin.

When managing dka hypoglycaemia and hypo hyperkalaemia are the other main complications which must be monitored for and treated. In some cases diabetic ketoacidosis may be the first sign that a person has diabetes. It could be life threatening but it usually takes many hours to.

Insulin reverses the. Diabetic ketoacidosis is treated with fluids electrolytes such as sodium potassium and chloride and insulin. The prognosis for a person with diabetic ketoacidosis depends on the severity of the disease and the other underlying medical conditions.

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