MICU intern's survival guide diabetic ketoacidosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Diabetic ketoacidosis Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Diabetic ketoacidosis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic study of choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

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Overview

Step 1: Confirm the diagnosis of Diabetic ketoacidosis

History

Physical examination

Initial Laboratory works

Step 2: Call senior staff

Step 3: Initial management

Management if the patient is in shock

  • Attention to ABC.
  • Airway +/- NG tube
  • Breathing 100% oxygen
  • Circulation (10 ml/kg of .9% NS, replete until circulation restored, maximum 3 doses)

Management if dehydration > 5%, and patient acidotic

Management if dehydration < 5%, and patient non-acidotic

Step 4: Management

References

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