
Reevaluating Sodium Bicarbonate Use in the Emergency …
2023年12月20日 · During a recent shift, our emergency department (ED) team saw a patient with fairly severe diabetic ketoacidosis.The patient's serum bicarbonate level was 6 mEq/L and the venous pH was 6.85.
Diabetic Ketoacidosis in Patients With CHF and/or Renal Failure
2002年3月25日 · Question. How do you manage diabetic ketoacidosis (DKA) in patients with congestive heart failure (CHF) and/or renal failure?. Response from Zachary T. Bloomgarden, MD. Mortality from DKA persists ...
Management of Hyperglycemic Crises in Patients With Diabetes
Serum osmolality has been shown to correlate significantly with mental status in DKA and HHS [5,6,20,21,22,23] and is the most important determinant of mental status, as demonstrated by several ...
New Hyperglycemia Emergency Guidance Updates DKA Definition
2023年10月9日 · For assessing ketosis in DKA, the new statement strongly recommends use of beta-hydroxybutyrate — either via point-of-care test or serum level measured in a laboratory — with a low cutoff of ...
Pediatric DKA Management in the Era of Standardization - Page …
Expert Rev Endocrinol Metab. 2012;7(4):433-443. It is not recommended to stop an already initiated insulin infusion, but rather to introduce dextrose infusion with a 'two-bag system' if the blood ...
Management of Diabetic Ketoacidosis in Children
2001年3月20日 · Moderate DKA is characterized by hyperglycemia, ketonuria, and acidosis (pH between 7.25 and 7.4) in association with an impaired ability to retain oral fluids. Management requires evaluation and ...
Hyperglycemic Crises in Adult Patients With Diabetes - Medscape
DKA is responsible for more than 500,000 hospital days per year [1,2] at an estimated annual direct medical expense and indirect cost of 2.4 billion USD [2,3]. Table 1 outlines the diagnostic ...
Solutions for Diabetic Ketoacidosis: Finding the Right Balance
2020年10月2日 · In 2017, an Australian group of researchers compared Hartmann solution (lactated Ringer) vs 0.9% saline in a small number of children with DKA. There was no difference between the two treatments ...
Immune Checkpoint Inhibitors Cause of Type 1 Diabetes?
2025年3月20日 · This transcript has been edited for clarity. As many of us know, there is a therapy for cancer, known as immune checkpoint inhibitors, that in addition to treating cancer can also cause new-onset ...
Euglycemic Diabetic Ketoacidosis With SGLT-2 Inhibitors - Medscape
Diabetic ketoacidosis (DKA) is a well recognized complication of management of type 1 diabetes; nearly 5% of 6,796 adult participants with type 1 diabetes in the T1D Exchange program experienced ...