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Metabolic Acidosis Clinical Presentation: History, Physical Examination

Metabolic Acidosis Clinical Presentation: History, Physical Examination

Author: Christie P Thomas, MBBS, FRCP, FASN, FAHA; Chief Editor: Vecihi Batuman, MD, FASN more... Symptoms of metabolic acidosis are not specific. The respiratory center in the brainstem is stimulated, and hyperventilation develops in an effort to compensate for the acidosis. As a result, patients may report varying degrees of dyspnea. Patients may also report chest pain, palpitations, headache, confusion, generalized weakness, and bone pain. Patients, especially children, also may present with nausea, vomiting, and decreased appetite. The clinical history in metabolic acidosis is helpful in establishing the etiology when symptoms relate to the underlying disorder. The age of onset and a family history of acidosis may point to inherited disorders, which usually start during childhood. Important points in the history include the following: History of diabetes mellitus, alcoholism, or prolonged starvation - Accumulation of ketoacids Polyuria, increased thirst, epigastric pain, vomiting - Diabetic ketoacidosis (DKA) Nocturia, polyuria, pruritus, and anorexia - Renal failure [ 9 ] Ingestion of drugs or toxins - Salicylates, acetazolamide, cyclosporine, ethylene glycol, methanol, metformin, topiramate Visual symptoms, including dimming, photophobia, scotomata - Methanol ingestion Tinnitus, blurred vision, and vertigo - Salicylate overdose The best recognized sign of metabolic acidosis is Kussmaul respirations, a form of hyperventilation that serves to increase minute ventilatory volume. This is characterized by an increase in tidal volume rather than respiratory rate and is appreciated as deliberate, slow, deep breathing. Chronic metabolic acidosis in children may be associated with stunted growth and rickets. Coma and hypotension have been reported with acute severe metabo Continue reading >>

Diabetic Ketoacidosis (dka) Explained Clearly

Diabetic Ketoacidosis (dka) Explained Clearly

Diabetic Ketoacidosis (DKA) Explained Clearly Understand Diabetic Ketoacidosis (DKA) with this clear explanation from Dr. Seheult. This is video 1 of 2 on diabetic ketoacidosis (pathophysiology and signs of diabetic ketoacidosis / DKA) Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine. MedCram: Medical topics explained clearly including: Asthma, COPD, Acute Renal Failure, Mechanical Ventilation, Oxygen Hemoglobin Dissociation Curve, Hypertension, Shock, Diabetic Ketoacidosis (DKA), Medical Acid Base, VQ Mismatch, Hyponatremia, Liver Function Tests, Pulmonary Function Tests (PFTs), Adrenal Gland, Pneumonia Treatment, any many others. New topics are often added weekly- please subscribe to help support MedCram and become notified when new videos have been uploaded. Recommended Audience: Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board examinations. Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical educational and exam preparation purposes, and not intended to replace recommendations by your health care provider. 24 thoughts on Diabetic Ketoacidosis (DKA) Explained Clearly Effective natural remedies, prevention, lifestyle changes and diet for +ORACIO CALVILLO Thanks for the comment, glad the video cleared some things Ive been spending time with the help of my son studying curing diabetes then we discovered a great resource at Diabetes Crusher Tactic (google it I am just preparing for the physiology class that I am signed up for in the fall. Ive r Continue reading >>

Bullet Points On Dka Management

Bullet Points On Dka Management

EM Lyceum Bullets on DKA, summarized by Adaira Landry, MD and Manpreet Singh, MD The basics of Type I and Type II diabetes Duduzile Musa-Betts 's comment, April 21, 2015 9:48 AM Understand the treatment of diabetic ketoacidosis (DKA) with this clear explanation from Dr. Seheult. This is video 2 of 2 on diabetic ketoacidosis (DKA). Speaker: Roger Seheult, MD Clinical... A great explanation of the treatment protocol in DKA. American in focus but quite self explanatory (Chem 7 = urea and electrolytes) Duduzile Musa-Betts 's comment, April 21, 2015 9:54 AM What do you think of the length of the document? Anand Swaminathan, MD MPH (@EMSwami) addresses four myths in DKA management: VBG vs ABG, electrolytes, bicarb administration, and insulin boluses. Again a really timely review of the data and studies leading to our approach in DKA management - make sure you read the discussion in the comments The feared complication of pediatric DKA is cerebral edema. Who should get mannitol is a great question; let's attempt to answer that. Welcome to the Endocrinology module. The following is a quiz to be done after reading each of our selected pertinent FOAM blog posts listed below. We selected these as the best Endorinology FOAM sources based on their topic, content, and high level of evidence reviewed. If you are answering these questions for residency "Individual Interactive Instruction (I3)" credit - also known as asynchronous learning - please fill out the two questions below. Otherwise, proceed to page 2. This is an excellent description of how DKA develops - great for an initial review of the physiology. Duduzile Musa-Betts 's comment, April 21, 2015 9:50 AM What are implications for the management of DKA raised by this description of the pathophysiology? Diabetic Ketoacidosis (D Continue reading >>

Cerebral Infarction And Femoral Venous Thrombosis Detected In A Patient With Diabetic Ketoacidosis And Heterozygous Factor V Leiden G1691a And Pai-1 4g/5g Mutations

Cerebral Infarction And Femoral Venous Thrombosis Detected In A Patient With Diabetic Ketoacidosis And Heterozygous Factor V Leiden G1691a And Pai-1 4g/5g Mutations

Cerebral infarction and femoral venous thrombosis detected in a patient with diabetic ketoacidosis and heterozygous factor V Leiden G1691A and PAI-1 4G/5G mutations Department of Pediatrics, Bakirkoy Dr. Sadi Konuk Research and Training Hospital, Istanbul, Turkey Division of Pediatric Metabolism Disease, Bakirkoy Dr. Sadi Konuk Research and Training Hospital, Istanbul, Turkey Pediatric Intensive Care Unit, Bakirkoy Dr. Sadi Konuk Research and Training Hospital, Istanbul, Turkey Pediatric Intensive Care Unit, Bakirkoy Dr. Sadi Konuk Research and Training Hospital, Istanbul, Turkey Pediatric Intensive Care Unit, Bakirkoy Dr. Sadi Konuk Research and Training Hospital, Istanbul, Turkey Published Online: 2015-05-09 | DOI: Cerebral infarction is one of the serious neurological complications of diabetic ketoacidosis (DKA). Especially in patients who are genetically prone to thrombosis, cerebral infarction may develop due to inflammation, dehydration, and hyperviscocity secondary to DKA. A 6-year-old child with DKA is diagnosed with cerebral infarction after respiratory insufficiency, convulsion, and altered level of consciousness. Femoral and external iliac venous thrombosis also developed in a few hours after central femoral catheter had been inserted. Heterozygous type of factor V Leiden and PAI-14G/5G mutation were detected. In patients with DKA, cerebral infarction may be suspected other than cerebral edema when altered level of consciousness, convulsion, and respiratory insufficiency develop and once cerebral infarction occurs the patients should also be evaluated for factor V Leiden and PAI-14G/5G mutation analysis in addition to the other prothrombotic risk factors. Foster JR, Morrison G, Fraser DD. Diabetic ketoacidosis-associated stroke in children and youth. Stroke Continue reading >>

Diabetic Ketoacidosis (dka) Explained Clearly

Diabetic Ketoacidosis (dka) Explained Clearly

Diabetic Ketoacidosis (DKA) Explained Clearly Understand Diabetic Ketoacidosis (DKA) with this clear explanation from Dr. Seheult. This is video 1 of 2 on diabetic ketoacidosis (pathophysiology and signs of diabetic ketoacidosis / DKA) Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine. MedCram: Medical topics explained clearly including: Asthma, COPD, Acute Renal Failure, Mechanical Ventilation, Oxygen Hemoglobin Dissociation Curve, Hypertension, Shock, Diabetic Ketoacidosis (DKA), Medical Acid Base, VQ Mismatch, Hyponatremia, Liver Function Tests, Pulmonary Function Tests (PFTs), Adrenal Gland, Pneumonia Treatment, any many others. New topics are often added weekly- please subscribe to help support MedCram and become notified when new videos have been uploaded. Recommended Audience: Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board examinations. Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical educational and exam preparation purposes, and not intended to replace recommendations by your health care provider. Diabetic Ketoacidosis (DKA) Explained Clearly Understand Diabetic Ketoacidosis (DKA) with this clear explanation from Dr. Seheult. This is video 1 of 2 on diabetic ketoacidosis (pathophysiology and signs of diabetic ketoacidosis / DKA) Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine. MedCram: Medical topics explained clearly including: Asthma, COPD, Acute Renal Failure, Mechanical Ventilation, O Continue reading >>

Webquest: Diabetes Emergencies: Diabetic Ketoacidosis(dka) And Hyperosmolar Hyperglycemic State

Webquest: Diabetes Emergencies: Diabetic Ketoacidosis(dka) And Hyperosmolar Hyperglycemic State

To achieve the objectives outlined in the task section of this webquest, you will first be: -- reviewing a voiced over powerpoint on the subject, and - view a glogster poster on DKA and HHS. -view two videos on diabetic emergencies from MEDCRAM done by Roger Seheult, MD -view another YouTube video by MauiMary, RN on the nursing care of patients with DKA and HHS -as a team, incorporating your newly gained understanding of the pathophysiology of DKA/HHS, do a role play of an interview with yourpatient with either DKA or HHS. Utilize motivational interviewing techniques to discover the precipitating events leading to this emergent condition. After looking at this material, you will be working with a team of two other nurses todevelop educational objectives for patients inDKA or HHS. You will need to give some thought to how you will interview the patient to elicit the information about what precipitated this event. This interview needs to be structured in a culturally sensitive, non-judgmental manner. You might want to look at resources concerning motivational interviewing ( www.motivationalinterviewing.org )to help you achieve your goal. This patient interview will be role played by the group and evaluated by your peers. To achieve the maximum score for this element, you will need to develop an educational objective,utilize motivational interviewing, ask open ended questions about precipitating events, and be perceived as non-judgmental in your disposition towards the patient, who will be role played by another nurse from a different team. Other teams will be developing nursing care plans for thepatient withDKA and HHS, and an educational plan for your fellow critical care nurses on the appropriate identification, treatment and education of patients with either DKA or HH Continue reading >>

Diabetic Ketoacidosis (dka) Explained Clearly By Medcram.com

Diabetic Ketoacidosis (dka) Explained Clearly By Medcram.com

Diabetic Ketoacidosis (DKA) Explained Clearly by MedCram.com Understand Diabetic Ketoacidosis (DKA) with this clear explanation from Dr. Seheult of This is video 1 of 2 on diabetic ketoacidosis (pathophysiology and signs of diabetic ketoacidosis / DKA): 0:08 DKA stats 0:47 DKA cellular anatomy 1:00 mitochondria 1:48 beta-oxidation 2:30 insulin function 3:08 pyruvate 3:19 diabetes mellitus type 1 3:26 diabetes mellitus [] Diabetic Ketoacidosis (DKA) Explained Clearly by MedCram.com Understand Diabetic Ketoacidosis (DKA) with this clear explanation from Dr. Seheult of . This is video 1 of 2 on diabetic ketoacidosis (pathophysiology and signs of diabetic ketoacidosis / DKA): 4:48 ketone bodies (acetone, acetoacetate, b-hydroxybutyrate) 10:27 diabetic ketoacidosis potassium effects 11:04 diabetic ketoacidosis Cr elevation / renal failure 12:09 measuring ketone bodies (serum ketones, b-hydroxybutyrate) Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine. MedCram: Medical topics explained clearly including: Asthma, COPD, Acute Renal Failure, Mechanical Ventilation, Oxygen Hemoglobin Dissociation Curve, Hypertension, Shock, Diabetic Ketoacidosis (DKA), Medical Acid Base, VQ Mismatch, Hyponatremia, Liver Function Tests, Pulmonary Function Tests (PFTs), Adrenal Gland, Pneumonia Treatment, any many others. New topics are often added weekly- please subscribe to help support MedCram and become notified when new videos have been uploaded. Subscribe: Recommended Audience: Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board exa Continue reading >>

Type Vents

Type Vents

Understand mechanical ventilation with this clear explanation by Dr. Roger Seheult of http ://www.medcram.com. Includes a discussion on simplifying the different modes of ventilation (based on volume, pressure, rate, flow, O2, CPAP ) and other ventilator basics. This is video 1 of 5 on mechanical ventilation.Speaker: Roger Seheult, MDClinical and Exam Preparation Instructor Board Certified in Internal Medicine , Pulmonary Disease , Critical Care , and Sleep Medicine .MedCram: Medical topics explained clearly including: Asthma, COPD , Acute Renal Failure , Mechanical Ventilation , Oxygen Hemoglobin Dissociation Curve , Hypertension, Shock , Diabetic Ketoacidosis ( DKA ), Medical Acid Base , VQ Mismatch, Hyponatremia, Liver Function Tests , Pulmonary Function Tests (PFTs), Adrenal Gland , Pneumonia Treatment , any many others. New topics are often added weekly- please subscribe to help support MedCram and become notified when new videos have been uploaded. Subscribe: Audience : Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE , MCAT , PANCE , NCLEX , NAPLEX , NDBE, RN, RT, MD, DO , PA, NP school and board examinations.More from MedCram: Complete Video library: Facebook : Google +: by Kyle Allred PA-C Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical educational and exam preparation purposes, and not intended to replace recommendations by your health care provider. This video is all about the deaeration of heating system water. This in turn protects the pump and heating system components to maintain adequate function and flow. We show you where they fit in a Continue reading >>

Dka In Icu Free Mp3 Download

Dka In Icu Free Mp3 Download

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Understanding Diabetic Ketoacidosis

Understanding Diabetic Ketoacidosis

Dr. Roger Seheult gives a clear explanation with drawings of diabetic ketoacidosis, which accounts for 135,000 hospital admissions every year in the United States. What is diabetic ketoacidosis? What do you test the patient’s blood for? Is creatinine value increased or decreased in a patient with DKA? Is the glucose level increased or decreased in a patient with DKA? In less than 15 minutes, get the answers and never be confused about diabetic ketoacidosis again. Continue reading >>

Diabetic Ketoacidosis (dka) Explained Clearly Diabetes Complications

Diabetic Ketoacidosis (dka) Explained Clearly Diabetes Complications

10:27 diabetic ketoacidosis potassium effects 11:04 diabetic ketoacidosis Cr elevation / renal failure 12:09 measuring ketone bodies (serum ketones, b-hydroxybutyrate) Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine. MedCram: Medical topics explained clearly including: Asthma, COPD, Acute Renal Failure, Mechanical Ventilation, Oxygen Hemoglobin Dissociation Curve, Hypertension, Shock, Diabetic Ketoacidosis (DKA), Medical Acid Base, VQ Mismatch, Hyponatremia, Liver Function Tests, Pulmonary Function Tests (PFTs), Adrenal Gland, Pneumonia Treatment, any many others. New topics are often added weekly- please subscribe to help support MedCram and become notified when new videos have been uploaded. Subscribe: Recommended Audience: Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board examinations. Continue reading >>

(9.06 Mb) Diabetic Ketoacidosis Dka Explained Clearly Diabetes Complications.8mhlnfx2ciy Mp3 | Rootmusic

(9.06 Mb) Diabetic Ketoacidosis Dka Explained Clearly Diabetes Complications.8mhlnfx2ciy Mp3 | Rootmusic

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Boardvitals Partners With Medcram: Now Access Video Questions With Explanations

Boardvitals Partners With Medcram: Now Access Video Questions With Explanations

BoardVitals is excited to announce that weve partnered with MedCram to bring you something new. We pride ourselves on bringing you the most up-to-date questions to ensure youre prepared to pass the boards. To do so, we have doctors on staff answering your questions and comments on each of our questions. Occasionally, some questions spark similar questions/misunderstandings from different users. Generally speaking, when you comment in the Problem with this question section, your question gets emailed directly to one of our doctors on staff who will then go through each comment and answer you. When we see a trend of users all having the same misunderstanding on the same question, it begs for a more comprehensive explanation of the topic. Weve partnered with Dr. Roger Seheult, MD at MedCram to make videos reviewing and explaining those particularly complicated questions. MedCram is filled with videos that clearly explain a wide variety of challenging medical topics. From hypertension to asthma, diabetic ketoacidosis to shock, mechanical ventilation to x-ray interpretation, MedCram has produced more than 100 medical videos. Dr. Seheult is a quadruple board certified physician (Internal Medicine, Pulmonary Medicine, Critical Care and Sleep Medicine) and has been teaching for more than 20 years. With Dr. Seheults clear and efficient teaching style and hand drawn illustrations, MedCram courses are well-received by a variety of medical professionals and students (Physicians, Nurse Practitioners, Physician Assistants, Nurses, Respiratory Therapists, Medical Students, Nursing Students, and Paramedics) in over 200 countries. Check out our first collaborative video. This question is featured in the BoardVitals USMLE Step 1 and COMLEX Level 1 Board Practice Question Banks. What did Continue reading >>

Diabetic Ketoacidosis (dka)

Diabetic Ketoacidosis (dka)

10:27 diabetic ketoacidosis - potassium effects 11:04 diabetic ketoacidosis - Cr elevation / renal failure 12:09 measuring ketone bodies (serum ketones, b-hydroxybutyrate) Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine. MedCram: Medical topics explained clearly including: Asthma, COPD, Acute Renal Failure, Mechanical Ventilation, Oxygen Hemoglobin Dissociation Curve, Hypertension, Shock, Diabetic Ketoacidosis (DKA), Medical Acid Base, VQ Mismatch, Hyponatremia, Liver Function Tests, Pulmonary Function Tests (PFTs), Adrenal Gland, Pneumonia Treatment, any many others. New topics are often added weekly- please subscribe to help support MedCram and become notified when new videos have been uploaded. Subscribe: Recommended Audience: Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board examinations. Continue reading >>

Diabetic Ketoacidosis (dka) Explained Clearly - Diabetes Complications

Diabetic Ketoacidosis (dka) Explained Clearly - Diabetes Complications

Diabetic Ketoacidosis (DKA) Explained Clearly - Diabetes Complications Understand Diabetic Ketoacidosis (DKA) with this clear explanation from Dr. Seheult of www.medcram.com. This is video 1 of 2 on diabetic ketoacidosis (pathophysiology and signs of diabetic ketoacidosis / DKA): 4:48 ketone bodies (acetone, acetoacetate, b-hydroxybutyrate) 10:27 diabetic ketoacidosis - potassium effects 11:04 diabetic ketoacidosis - Cr elevation / renal failure 12:09 measuring ketone bodies (serum ketones, b-hydroxybutyrate) Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine. MedCram: Medical topics explained clearly including: Asthma, COPD, Acute Renal Failure, Mechanical Ventilation, Oxygen Hemoglobin Dissociation Curve, Hypertension, Shock, Diabetic Ketoacidosis (DKA), Medical Acid Base, VQ Mismatch, Hyponatremia, Liver Function Tests, Pulmonary Function Tests (PFTs), Adrenal Gland, Pneumonia Treatment, any many others. New topics are often added weekly- please subscribe to help support MedCram and become notified when new videos have been uploaded. Subscribe: thexvid.com/user/medcramvideos Recommended Audience: Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board examinations. Continue reading >>

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