Dka Criteria

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Diabetic Ketoacidosis

Abbas E. Kitabchi, PhD., MD., FACP, FACE Professor of Medicine & Molecular Sciences and Maston K. Callison Professor in the Division of Endocrinology, Diabetes & Metabolism UT Health Science Center, 920 Madison Ave., 300A, Memphis, TN 38163 Aidar R. Gosmanov, M.D., Ph.D., D.M.Sc. Assistant Professor of Medicine, Division of Endocrinology, Diabetes & Metabolism, The University of Tennessee Health Science Center, 920 Madison Avenue, Suite 300A, Memphis, TN 38163 Clinical Recognition Omission of insulin and infection are the two most common precipitants of DKA. Non-compliance may account for up to 44% of DKA presentations; while infection is less frequently observed in DKA patients. Acute medical illnesses involving the cardiovascular system (myocardial infarction, stroke, acute thrombosis) and gastrointestinal tract (bleeding, pancreatitis), diseases of endocrine axis (acromegaly, Cushing`s syndrome, hyperthyroidism) and impaired thermo-regulation or recent surgical procedures can contribute to the development of DKA by causing dehydration, increase in insulin counter-regulatory hormones, and worsening of peripheral insulin resistance. Medications such as diuretics, beta-blockers, co Continue reading >>

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Popular Questions

  1. Chem_Mod

    K+ is not an acid and Br- is not a base, so the solution is neutral. But KF is basic, why is it not also neutral since they both have K+ and Br and F are in the same group? Also for compounds such as AlCl3 and Cu(NO3)2, how do I determine that it is Al(H2O)6 or Cu(H2O)6 when I am writing out the chemical equation?

  2. Chem_Mod

    F- is an exception in that it is the only halogen that affects the pH of a solution. If one thinks about the series H-F, H--Cl, H---Br, H----I and recalls that H-F is the weakest acid (strongest bond) then it makes sense that F- will pick up H+ from water to form H-F and OH- and hence raise the solution pH. For the metal complexes, Al3+ and Cu2+ form octahedral complexes with water, the main point is that a highly charged cation can remove H+ from H2O to form OH-.

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