Dka Management Flowchart

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Diabetic Ketoacidosis

Initial Evaluation Initial evaluation of patients with DKA includes diagnosis and treatment of precipitating factors (Table 14–18). The most common precipitating factor is infection, followed by noncompliance with insulin therapy.3 While insulin pump therapy has been implicated as a risk factor for DKA in the past, most recent studies show that with proper education and practice using the pump, the frequency of DKA is the same for patients on pump and injection therapy.19 Common causes by frequency Other causes Selected drugs that may contribute to diabetic ketoacidosis Infection, particularly pneumonia, urinary tract infection, and sepsis4 Inadequate insulin treatment or noncompliance4 New-onset diabetes4 Cardiovascular disease, particularly myocardial infarction5 Acanthosis nigricans6 Acromegaly7 Arterial thrombosis, including mesenteric and iliac5 Cerebrovascular accident5 Hemochromatosis8 Hyperthyroidism9 Pancreatitis10 Pregnancy11 Atypical antipsychotic agents12 Corticosteroids13 FK50614 Glucagon15 Interferon16 Sympathomimetic agents including albuterol (Ventolin), dopamine (Intropin), dobutamine (Dobutrex), terbutaline (Bricanyl),17 and ritodrine (Yutopar)18 DIFFERENTIAL DI Continue reading >>

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Popular Questions

  1. waklee1

    I was wondering where everyone finds there ketosis sticks. I am on day 12 of induction and only lost 7lbs so far. I lost this in the first 6 days though. I haven't been using the ketosis sticks, and am thinking that I should start. Where can I find them?

  2. saffron28

    You can get the Keto stix at wal-mart. I found mine by the diabetic testing supplies. I use them about once a day, and so far have only tested in ketosis once. A lot of people swear by them and just as many say they are junk. I am not too impressed with them but that is me. I guess they are one of those YMMV things.

  3. jennabrams

    I use the Ketostix brand that you buy at a pharmacy and I test once a day. The only thing I don't like is that you actually have to go to the pharmacist and ask for them because they are behind the counter. I have tried a few brands of these including atkins, but I believe these are the most accurate. They are about $10.00 for 50 or $17 for 100 depending on where you live. I find them at Walgreens, Eckerd, Duane Reade, CVS, and Rite Aid.
    Good Luck--

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