Dka Death Rate

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National diabetes care home survey highlights 'concerning' results October 4th, 2013 Almost one in five care home residents with diabetes self-medicate without any checks, according to new research. Self-management is usually encouraged, but vulnerable people with diabetes, especially those on the potentially-dangerous drug insulin, should be checked to ensure they have taken their medicine to prevent complications, including descending into a coma. The first-ever National Care Home Diabetes Audit also revealed that more than 60 per cent of the 2,043 premises surveyed did not have a designated member of staff with responsibility for diabetes management. The audit was carried out by the Institute of Diabetes for Older People (IDOP) in partnership with ABCD (Association of British Clinical Diabetologists) and a group of further key collaborators (listed below). The audit results found only one in 10 care home residents were reported as having diabetes although this figure is at odds with previous research that showed as many as 26 per cent of all care home residents actually have diabetes. However, despite this high number, 63.2 per cent of homes did not have a designated member of staff with responsibility for diabetes management. Also, 64.5 per cent of care homes had no policy on screening for diabetes. The audit seeks to identify quality standards that can be picked up by the Care Quality Commission (CQC) to be used for assessment of the quality of diabetes care being delivered in care home settings. Professor Alan Sinclair, audit lead and Director of IDOP, said: "We undertook this research to firstly ascertain what areas of diabetes care within residential settings can be further supported and, secondly, to gain better insight into the difficulties of providing enhanced care in these rather complex settings. "We know care home staff are working hard to care for their residents but it was sad and concerning to discover some of the results. Especially, the fact 17.3 per cent of homes had no system in place to examine whether those who self-medicate for diabetes have taken their medication. We encourage self-medication but it needs to be checked in a care setting, especially". "However, this audit has the potential to improve care for older people with diabetes living in care homes in England, and give insight on how to provide staff with the training and support that they need, as well as assisting managers and policymakers to allocate resources." Peter Winocour, former chairman of ABCD, said: "We are very pleased to support this important work which really must be seen as a call to action. "Regarding the care of this vulnerable group of individuals, we know that when it comes to hospital admissions at least one in five have diabetes and the average age of these patients is 75. A significant proportion of these vulnerable patients will come from nursing homes. So the care that they receive in the nursing homes has to be optimised." The audit also found over a third of residents (35.17 per cent) did not know about the signs and symptoms of hypoglycaemia -- a complication of diabetes which can result in hospital admission due to a coma if left untreated. More than 35 per cent of homes did not have a written policy for managing hypoglycaemia. The survey had the full support and collaboration of multiple stakeholders. This project follows the recently-published Diabetes UK national guidance on diabetes in care homes (2010), which has sought to enhance the standard of care received by residents with diabetes. IDOP, in partnership with the InDependent Diabetes Trust and the English Community Care Association (ECCA), launched a 'Passport' for people with diabetes in care settings earlier this year.

National Diabetes Audit - 2011-12: Report 2

Summary 2011-2012 National Diabetes Audit (NDA) report. Report 2 shows Complications and Mortality This national report from the ninth year of the NDA, presents key findings on complications in 2010-2012 and deaths in 2012 for all age groups. This report presents statistics about diabetes outcomes including Diabetic Ketoacidosis (DKA), chronic kidney disease and treatment of end stage disease (renal replacement therapy, RRT), lower limb amputations, retinopathy treatment, heart disease, stroke and mortality. Due to the size of this publication, the data have been organised alphabetically by CCG/LHB profile and split into several pages, which are linked to above. Key Facts More than a quarter of admissions to hospital with heart failure involve a patient with diabetes (28 per cent, or 198,200 of 717,100 admissions during 2010-2012). The National Diabetes Audit published today recorded over two million patients with diabetes and shows people with diabetes have a 74 per cent greater risk of being admitted to hospital for heart failure compared to the rest of the population. Of the 198,100 people in the audit with type 1 diabetes in England and Wales in 2012, 3,300 died during the year Continue reading >>

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  1. just hopping!

    RE: Bad Breath and Running

    Why do you think it's from running?

  2. Brent

    RE: Bad Breath and Running

    Two possibilities, both of which can be related to your running:
    1. Dehydration. If you are dehydrated, your breath can stink.
    2. Ketosis. This is the condition you get if you follow one of those low-carb, high-protein diets. One of the side-effects of ketosis is bad body odor and bad breath. Are you cutting down on your carbs? Are you dieting? Are you eating lots of meat while shying away from grains, fruits, and vegatables? The effects of a low-carb diet (including bad breath) are going to be magnified if you're exercising.
    So, drink lots of water and eat some carbs.

  3. runnerchick

    RE: Bad Breath and Running

    do you brush your teeth regularly, floss and use mouthwash? flossing often helps a lot.

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What is DIABETIC KETOACIDOSIS? What does DIABETIC KETOACIDOSIS mean? DIABETIC KETOACIDOSIS meaning - DIABETIC KETOACIDOSIS definition - DIABETIC KETOACIDOSIS explanation. Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/... license. SUBSCRIBE to our Google Earth flights channel - https://www.youtube.com/channel/UC6Uu... Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus. Signs and symptoms may include vomiting, abdominal pain, deep gasping breathing, increased urination, weakness, confusion, and occasionally loss of consciousness. A person's breath may develop a specific smell. Onset of symptoms is usually rapid. In some cases people may not realize they previously had diabetes. DKA happens most often in those with type 1 diabetes, but can also occur in those with other types of diabetes under certain circumstances. Triggers may include infection, not taking insulin correctly, stroke, and certain medications such as steroids. DKA results from a shortage of insulin; in response the body switches to burning fatty acids which produces acidic ketone bodies. DKA is typically diagnosed when testing finds high blood sugar, low blood pH, and ketoacids in either the blood or urine. The primary treatment of DKA is with intravenous fluids and insulin. Depending on the severity, insulin may be given intravenously or by injection under the skin. Usually potassium is also needed to prevent the development of low blood potassium. Throughout treatment blood sugar and potassium levels should be regularly checked. Antibiotics may be required in those with an underlying infection. In those with severely low blood pH, sodium bicarbonate may be given; however, its use is of unclear benefit and typically not recommended. Rates of DKA vary around the world. About 4% of people with type 1 diabetes in United Kingdom develop DKA a year, while in Malaysia the condition affects about 25% a year. DKA was first described in 1886 and, until the introduction of insulin therapy in the 1920s, it was almost universally fatal. The risk of death with adequate and timely treatment is currently around 1–4%. Up to 1% of children with DKA develop a complication known as cerebral edema. The symptoms of an episode of diabetic ketoacidosis usually evolve over a period of about 24 hours. Predominant symptoms are nausea and vomiting, pronounced thirst, excessive urine production and abdominal pain that may be severe. Those who measure their glucose levels themselves may notice hyperglycemia (high blood sugar levels). In severe DKA, breathing becomes labored and of a deep, gasping character (a state referred to as "Kussmaul respiration"). The abdomen may be tender to the point that an acute abdomen may be suspected, such as acute pancreatitis, appendicitis or gastrointestinal perforation. Coffee ground vomiting (vomiting of altered blood) occurs in a minority of people; this tends to originate from erosion of the esophagus. In severe DKA, there may be confusion, lethargy, stupor or even coma (a marked decrease in the level of consciousness). On physical examination there is usually clinical evidence of dehydration, such as a dry mouth and decreased skin turgor. If the dehydration is profound enough to cause a decrease in the circulating blood volume, tachycardia (a fast heart rate) and low blood pressure may be observed. Often, a "ketotic" odor is present, which is often described as "fruity", often compared to the smell of pear drops whose scent is a ketone. If Kussmaul respiration is present, this is reflected in an increased respiratory rate.....

Diabetic Ketoacidosis Causes, Symptoms, Treatment, And Complications

Diabetic ketoacidosis definition and facts Diabetic ketoacidosis is a life-threatening complication of type 1 diabetes (though rare, it can occur in people with type 2 diabetes) that occurs when the body produces high levels of ketones due to lack of insulin. Diabetic ketoacidosis occurs when the body cannot produce enough insulin. The signs and symptoms of diabetic ketoacidosis include Risk factors for diabetic ketoacidosis are type 1 diabetes, and missing insulin doses frequently, or being exposed to a stressor requiring higher insulin doses (infection, etc). Diabetic ketoacidosis is diagnosed by an elevated blood sugar (glucose) level, elevated blood ketones and acidity of the blood (acidosis). The treatment for diabetic ketoacidosis is insulin, fluids and electrolyte therapy. Diabetic ketoacidosis can be prevented by taking insulin as prescribed and monitoring glucose and ketone levels. The prognosis for a person with diabetic ketoacidosis depends on the severity of the disease and the other underlying medical conditions. Diabetic ketoacidosis (DKA) is a severe and life-threatening complication of diabetes. Diabetic ketoacidosis occurs when the cells in our body do not receive Continue reading >>

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  1. McChesney

    What is DKA?

    On the web seems really technical.

  2. anon22778511

    When your cells don't get the glucose they need for energy (because Insulin is lacking to open up the cells, to allow the sugar inside), the body begins to burn fat for energy. This burning of fat produces ketones. Ketones are chemicals (bi-product) that the body creates when it breaks down fat to use for energy. When ketones build up in the blood, they make it more acidic.
    High levels of ketones in the blood stream can poison the body. When levels get too high, you can develop Diabetic ketoacidosis (DKA).

    So basically, it's when the cells doesn't have the glucose they needs, the body burns fat, as a result ketones are produced, which poison the body. Enough ketones can make you very ill, or kill you.

  3. rgcainmd

    Are you a teacher? If not, you missed your true calling in life!

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DKA diabetic ketoacidosis nursing management pathophysiology & treatment. DKA is a complication of diabetes mellitus and mainly affects type 1 diabetics. DKA management includes controlling hyperglycemia, ketosis, and acdidosis. Signs & Symptoms include polyuria, polydipsia, hyperglycemia greater than 300 mg/dL, Kussmaul breathing, acetone breath, and ketones in the urine. Typically DKA treatment includes: intravenous fluids, insulin therapy (IV regular insulin), and electrolyte replacement. This video details what the nurse needs to know for the NCLEX exam about diabetic ketoacidosis. I also touch on DKA vs HHS (diabetic ketoacidosis and hyperosmolar hyperglycemic nonketotic syndrome (please see the other video for more details). Quiz on DKA: http://www.registerednursern.com/diab... Lecture Notes for this video: http://www.registerednursern.com/diab... Diabetes NCLEX Review Videos: https://www.youtube.com/playlist?list... Subscribe: http://www.youtube.com/subscription_c... Nursing School Supplies: http://www.registerednursern.com/the-... Nursing Job Search: http://www.registerednursern.com/nurs... Visit our website RegisteredNurseRN.com for free quizzes, nursing care plans, salary information, job search, and much more: http://www.registerednursern.com Check out other Videos: https://www.youtube.com/user/Register... Popular Playlists: "NCLEX Study Strategies": https://www.youtube.com/playlist?list... "Fluid & Electrolytes Made So Easy": https://www.youtube.com/playlist?list... "Nursing Skills Videos": https://www.youtube.com/playlist?list... "Nursing School Study Tips": https://www.youtube.com/playlist?list... "Nursing School Tips & Questions": https://www.youtube.com/playlist?list... "Teaching Tutorials": https://www.youtube.com/playlist?list... "Types of Nursing Specialties": https://www.youtube.com/playlist?list... "Healthcare Salary Information": https://www.youtube.com/playlist?list... "New Nurse Tips": https://www.youtube.com/playlist?list... "Nursing Career Help": https://www.youtube.com/playlist?list... "EKG Teaching Tutorials": https://www.youtube.com/playlist?list... "Personality Types": https://www.youtube.com/playlist?list... "Dosage & Calculations for Nurses": https://www.youtube.com/playlist?list... "Diabetes Health Managment": https://www.youtube.com/playlist?list...

Myths In Dka Management

Anand Swaminathan, MD, MPH (@EMSwami) is an assistant professor and assistant program director at the NYU/Bellevue Department of Emergency Medicine in New York City. Review questions are available at the end of this post. Background Each year, roughly 10,000 patients present to the Emergency Department in diabetic ketoacidosis (DKA). Prior to the advent of insulin, the mortality rate of DKA was 100% although in recent years, that rate has dropped to approximately 2-5%.1 Despite clinical advances, the mortality rate has remained constant over the last 10 years. With aggressive resuscitative measures and appropriate continued management this trend may change. DKA is defined as: Hyperglycemia (glucose > 250 mg/dl) Acidosis (pH < 7.3) Ketosis In the absence of insulin, serum glucose rises leading to osmotic diuresis. This diuresis leads to loss of electrolytes including sodium, magnesium, calcium and phosphorous. The resultant volume depletion leads to impaired glomerular filtration rate (GFR) and acute renal failure. In patients with DKA, fatty acid breakdown produces 2 different ketone bodies, first acetoacetate, which then further converts to beta-hydroxybutyrate, the latter being t Continue reading >>

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  1. [deleted]

    Thanks for the info. Thats one of my biggest fears is getting those fuckers.

  2. L15t3r0f5m3g

    It should be. I've had them twice. You don't want them.

  3. moose_testes

    Had them once. I'd probably give up a testicle if it meant never having them again. Fucking hell they were.

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