Ketoacidosis Treatment

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Emergency Management Of Diabetic Ketoacidosis In Adults

Diabetic ketoacidosis (DKA) is a potentially fatal metabolic disorder presenting most weeks in most accident and emergency (A&E) departments.1 The disorder can have significant mortality if misdiagnosed or mistreated. Numerous management strategies have been described. Our aim is to describe a regimen that is based, as far as possible, on available evidence but also on our experience in managing patients with DKA in the A&E department and on inpatient wards. A literature search was carried out on Medline and the Cochrane Databases using “diabetic ketoacidosis” as a MeSH heading and as textword. High yield journals were hand searched. Papers identified were appraised in the ways described in the Users’ guide series published in JAMA. We will not be discussing the derangements in intermediary metabolism involved, nor would we suggest extrapolating the proposed regimen to children. Although some of the issues discussed may be considered by some to be outwith the remit of A&E medicine it would seem prudent to ensure that A&E staff were aware of the probable management of such patients in the hours after they leave the A&E department. AETIOLOGY AND DEFINITION DKA may be the first Continue reading >>

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Popular Questions

  1. warriorscholar

    Hey all,
    I need to be to work in 6 hours and I can't seem to fall asleep. Anyone else get insomnia real bad when ketosis kicks in hard?

  2. DeltaSierra

    That's funny because I normally have terrible insomnia when I'm *not* in ketosis - I sleep much better when I am. I guess it affects everybody so differently - like some people go into "induction sickness" but that never bothered me. I hope you are able to deal with it - incidently have you ever tried melatonin? I swear by it for those nights when, regardless what my diet is, I simply can't sleep.

  3. warriorscholar

    I used to take melatonin back in the day. I never noticed an effect. I guess it couldn't hurt to give it a shot. I suppose I've always had sleeping trouble. I should look into this.

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