Protocol for management of adult patients with DKA or HHS

Slides:



Advertisements
Similar presentations
Management of Diabetic Ketoacidosis in the PICU
Advertisements

Diagnosis and Management of Hyperglycemic Crises
Fluid and electrolyte imbalance Emad Al Khatib, RN,MSN,CNS
Pediatric Fluid Therapy Dr. Radi M. A
Management of Diabetic Ketoacidosis
Diabetic Ketoacidosis DKA)
Management of diabetic ketoacidosis and hypoglycemia Prof. Hanan Hagar.
ACUTE COMPLICATIONS. 18 years old diabetic patient was found to be in coma What questions need to be asked ? Differentiating hypo from hyperglycemia ?
Diabetic Ketoacidosis. Definition 2009 ADA consensus statement on DKA 2009 ADA consensus statement on DKA Life-threatening condition characterized by.
2011 EBM-hyperglycemia 陳莉瑋醫師. 一定要打 bolus insulin 嗎 ?
January 28,  Deficit of water in relation to total body sodium  Serum Sodium: >145  Severe: >160.
Hyperglycemic Emergencies Dr. Miada Mahmoud Rady Ems/474 Endocrinal Emergencies Lecture 3.
Diabetic Ketoacidosis DKA PHCL 442 Lab Discussion 6 Raniah Al-Jaizani M.Sc.
DIABETIC KETOACIDOSIS Emergency pediatric – PICU division H. Adam Malik Hospital – Medical School University of Sumatera Utara 1.
Management of diabetic ketoacidosis and hypoglycemia Prof. Hanan Hagar.
Management of diabetic ketoacidosis and hypoglycemia
Pediatric endocrine fellow
Diabetes and Gestational Diabetes Trends Among Adults in the U. S
ACUTE COMPLICATIONS.
ACUTE COMPLICATIONS.
Protocol for the management of adult patients with DKA
Management of diabetic ketoacidosis and hypoglycemia
Endocrine Emergencies & Management
Rank-order bar chart of percentage of patient-days with blood glucose results > 299 mg/dl for non-ICU units. Rank-order bar chart of percentage of patient-days.
Protocol for the management of adult patients with HHS
Protocol for the management of pediatric patients (250 mg/dl, venous pH
Paul Szczybor PA-C DFAAPA Lifebridge Critical Care
The means and SDs of the data from all Glucommander runs from 1984 to 1998 are graphed. The means and SDs of the data from all Glucommander runs from 1984.
Nat. Rev. Endocrinol. doi: /nrendo
Protocol for the management of adult patients with HHS
Management of Adult Patients with Hyperosmolar Hyperglycemic Syndrome
Mean daily glucose concentration and frequency of hypoglycemia in long-term care residents with type 2 diabetes. Mean daily glucose concentration and frequency.
Changes in weight and body mass index (BMI) associated with quality improvement. Changes in weight and body mass index (BMI) associated with quality improvement.
Protocol for the management of adult patients with DKA
Group differences (DKA vs
Protocol for the management of pediatric patients (250 mg/dl, venous pH
Serial measurements of serum glucose, anion gap, serum carbon dioxide, and serum triglycerides throughout the patient's hospital stay. Serial measurements.
Initial evaluation and treatment of DKA in the emergency department
(A) Mean (SD) serum continuous erythropoietin receptor activator (C. E
The development of plasma (p-)C-peptide responses to an intravenous glucose (0.5 g glucose/kg body wt) and glucagon (1 mg) infusion test up to 5–7 years.
Percentage of patients with type 2 diabetes with A1C < 7% (n = 248), blood pressure > 130/80 mmHg (n = 248), and LDL cholesterol < 100 mg/dl (n = 207)
Left columns: Plasma glucose and serum insulin concentrations, circulating TF-PCA, and FVIIa activity before and during 24 h of selective hyperglycemia.
Forefoot peak plantar pressure in diabetic patients without and with mild, moderate, and severe peripheral neuropathy. *Severe and moderate neuropathy.
A1C (A) and serum glycated albumin (GA) (B) levels in 47 pregnant women (study 1) divided according to gestational period into group I (21–24 weeks; n.
RBC counts (A), hemoglobin (B), MCH (C), serum transferrin (Tf) saturation (D), and serum ferritin (E) in 47 pregnant women (study 1) divided according.
Treatment algorithm for patients admitted with diabetic ketoacidosis (DKA) and hyperglycaemic hyperosmolar state (HHS) (ECG, electrocardiogram; FBC, full.
Endocrine Emergencies
Plasma glucose, GIR, rates of EGP and glucose utilization, and plasma concentrations of free fatty acids (FFAs) and β-hydroxy-butyrate after a subcutaneous.
Estimated glucose delta values (mmol/L) after glucagon injection (5 µg/kg) in octreotide-treated rats. Estimated glucose delta values (mmol/L) after glucagon.
Multivariate-adjusted HRs (95% CI) for deaths from CV disease (CVD), coronary heart disease (CHD), stroke, and all-cause mortality according to fasting.
Proportion of patients experiencing documented symptomatic hypoglycemia (blood glucose
Metabolic parameters in the three groups of patients during l-arginine infusion. Metabolic parameters in the three groups of patients during l-arginine.
Clinical characteristics and laboratory parameters in relation to dose of oral sodium bicarbonate. Clinical characteristics and laboratory parameters in.
Meal control achieved in the five meals of the study (the first dinner was handled in open-loop mode, and all other meals were handled by closed-loop).
Glycemic control and body weight over 52 weeks.
Study design (A) and patient disposition (B).
Protocol for the management of pediatric patients (250 mg/dl, venous pH
Enrollment, outcomes, and pharmacokinetics.
Case report: male 63 years old with documented stenosis of the internal cerebral artery, diabetes duration 12 years, and treatment with 22 IU insulin glargine.
Protocol for the management of adult patients with HHS
Protocol for Management of Adult Patients with Diabetic Ketoacidosis
RBP4 and glucose metabolism.
Protocol for the management of adult patients with DKA
(A) Mean glucose concentrations (standard error) over a 3-hour period in 21 placebo- and 15 pramlintide-treated patients with type 1 diabetes treated for.
Mean changes (standard error) from baseline in A1C (A and B) and body weight (C and D) for patients with type 1 (A and C) or type 2 (B and D) diabetes.
Distribution of daily frequency of BGM
Postoperative blood glucose levels and total insulin requirement.
A1C at baseline, 16 weeks, and 32 weeks according to study group in all participants (A), adult participants (B), and adolescent participants (C) who returned.
Cumulative distributions of A1C and fasting plasma glucose values for the U.S. population aged ≥12 years without diabetes for each survey cycle: 1999–2000,
Cumulative mean numbers of confirmed (plasma glucose ≤3
Presentation transcript:

Protocol for management of adult patients with DKA or HHS Protocol for management of adult patients with DKA or HHS. DKA diagnostic criteria: blood glucose 250 mg/dl, arterial pH 7.3, bicarbonate 15 mEq/l, and moderate ketonuria or ketonemia. Protocol for management of adult patients with DKA or HHS. DKA diagnostic criteria: blood glucose 250 mg/dl, arterial pH 7.3, bicarbonate 15 mEq/l, and moderate ketonuria or ketonemia. HHS diagnostic criteria: serum glucose >600 mg/dl, arterial pH >7.3, serum bicarbonate >15 mEq/l, and minimal ketonuria and ketonemia. †15–20 ml/kg/h; ‡serum Na should be corrected for hyperglycemia (for each 100 mg/dl glucose 100 mg/dl, add 1.6 mEq to sodium value for corrected serum value). (Adapted from ref. 13.) Bwt, body weight; IV, intravenous; SC, subcutaneous. Abbas E. Kitabchi et al. Dia Care 2009;32:1335-1343 ©2009 by American Diabetes Association