Dka Diagnosis Criteria

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Diabetes Mellitus

See also: Background: Diabetic ketoacidosis (DKA) is the combination of hyperglycemia, metabolic acidosis, and ketonaemia. It may be the first presentation for a child with previously undiagnosed diabetes. It can also be precipitated by illness, or poor compliance with taking insulin. All patients presenting with a blood glucose level (BGL) ≥ 11.1mmol/l should have blood ketones tested on a capillary sample using a bedside OptiumTM meter. If this test is positive (>0.6 mmol/l), assess for acidosis to determine further management. Urinalysis can be used for initial assessment if blood ketone testing is not available. The biochemical criteria for DKA are: 1. Venous pH < 7.3 or bicarbonate <15 mmol/l 2. Presence of blood or urinary ketones If ketones are negative, or the pH is normal in the presence of ketones, patients can be managed with subcutaneous (s.c.) insulin (see ' new presentation, mildly ill' below). Assessment of children and adolescents with DKA 1. Degree Of Dehydration (often over-estimated) None/Mild ( < 4%): no clinical signs Moderate (4-7%): easily detectable dehydration eg. reduced skin turgor, poor capillary return Severe(>7%): poor perfusion, rapid pulse, reduced Continue reading >>

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Popular Questions

  1. Rachel

    Does anyone know of a decent but simple keto calc? A couple I've tried baffle me, and an easier one I tried told me to lose 2lb a week I needed to consume 751 calories a day!!

  2. Phil

    2 lb/week requires a 1,000 calorie deficit by the Folk Theory of weight loss, so the 751 would be correct if you're sedentary.
    You need either a lower aspiration or added exercise if you want to eat more.

  3. rachel_d

    But I thought we don't count calories on this? I stick to around 1200 a day, I work on my feet all day, but don't do so much of a weekend only housework, shopping etc

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