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Dka Treatment Protocol

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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 b

952: Evaluation Of A Diabetic Ketoacidosis Treatment Protocol Using Subcutaneous Insulin Aspart

Introduction:Insulin therapy is one aspect of managing diabetic ketoacidosis (DKA), and the American Diabetes Association recommends regular insulin by continuous IV infusion as the treatment of choice for all but mild cases of DKA. Several studies, each enrolling a small number of patients, have examined rapid-acting subcutaneous insulin analogs for DKA treatment. Patients in these studies who received subcutaneous insulin analogs were treated outside of the ICU. Hypothesis:A DKA treatment protocol that uses subcutaneous insulin aspart, with weight-based doses administered every two hours, is safe and effective. Methods:This study was a retrospective chart review. Adult patients who received insulin aspart for treatment of DKA at Rush University Medical Center between January 2008 and December 2011 were eligible for study inclusion. Efficacy outcomes included time to resolution of DKA-associated laboratory abnormalities, length of stay, time to initiation of basal insulin, and amount of insulin received. The primary safety outcome was hypoglycemic events. Subgroup analyses were conducted for type 1 vs. type 2 diabetes, DKA severity, and whether or not patients received concomitan Continue reading >>

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  1. savannahceleste

    Trace amount of ketones in urine, constantly!

    So I'm sitting here, typing with one hand while I attempt to feed my son, Dakota with the other lol. At 18 years old, I keep finding myself looking down amazed at what perfection he is that I made! And then feel such an intense fear from the thought of me not living long enough to see him graduate or even see his 10th birthday! :(
    (I'm scared for myself, too…)
    I'm so glad I found a website that looks full of support/people that understand! I'm hoping I can get either an answer to why this is happening, or at least reassurance. :/
    Since I had Dakota (October. 8, 2010) via emergency c-section due to severe preeclampsia, I've had health problems. Unexplained 99% of the time because my blood work comes back "normal". Today, I'm fine. Besides occasional positional vertigo. What worries me though, is the fact that I've been running a trace amount of ketones since I've had Dakota. I'm able to flush them with water, but they come back. I eat enough, my blood sugars are under control, and I'm not sick. I blamed it at first on the c-section (surgery causing trauma to the insides and my body recovering from just having a baby) well it's been two and a half months and I'm STILL running ketones. I know what ketones are. I don't understand why I'm running them though. Why I can't get rid of them. I'm hoping to get an answer. Is this dangerous??? I'm really worried…
    Help please !!!

  2. tomecom

    The body is constantly producing small amounts of keytones naturally. Keytones are a byproduct of breaking down proteins. Small amounts are not a bad thing. In fact your heart will thank you because your heart prefers keytones over glucose as a fuel source.
    Typically, higher keytones are the result of eating too many proteins, and too few carbohydrates. Don't confuse keytones with ketoacidosis. Ketoacidosis is the result of a sedimentary lifestyle, overweight, low insulin levels, and poor diet.

  3. kdroberts

    I have to question some of your info since it appears to be very wrong. Ketones are produced when fatty acids are broken down, as far as I know protein has nothing to do with it. Ketoacidosis has nothing to do with weight, poor diet or lifestyle. Diabetic ketoacidosis is purely from a lack of insulin which is why it's a fairly common problem for type 1's and why many type 1's are diagnosed with ketoacidosis. Dehydration can also cause it because the body starts to panic and starts uncontrollably burning fat for energy.
    Ketosis can happen with a low carb, high fat (like the ketogenic diet which is about 80% fat or to some extent, atkins) diet since the body switches over to ketones as it's primary energy source. If you can control ketosis then it's arguably safe, although that's still hotly contested. If you can't control it then the ketosis will turn to ketoacidosis.

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1. Initiate Iv Fluids Stat: Ivf Should Be Started In The Ed And Continued In Icu As Needed

· Estimate intravascular volume status (via BUN/Cr, VS, orthostatic BP, urine output, physical exam, HgB)(to estimate saline requirement. · Assess free water deficit using corrected serum Na. A. Initial Fluid Orders: I. First correct intravascular fluid volume deficit with normal saline at a rate dependant on severity (being more cautious if cardiac or renal disease) a) 0.9% NaCl at 1-3 Liters /hr (15-20ml/kg) over 1 hour b) Give additional 0.9% NaCl IV rapidly if patient remains volume depleted. B. While Blood Glucose greater than 250 mg/dL -- Subsequent Fluid Orders: I. Calculate corrected Na: a) Corrected Sodium less than 134 mEq/L: continue 0.9% NaCl IV at 250-500 ml/hr until glucose less than 250 mg/dL, or corrected Na greater than 134 mEq/L. b) Corrected Sodium greater than or equal to 134 mEq/L: continue with 0.45% NaCl IV at 250-500 ml/hour until glucose less than 250 mg/dL, or corrected Na less than 134 mEq/L. II. If corrected Na decreases more than 2 mEq per hour, consider slowing the infusion rate. C. WHEN Blood Glucose less than 250mg/dL -- Subsequent Fluid Orders: I. Calculate corrected Na: a) Corrected sodium less than134 mEq/L: D5W/0.9% NaCl IV at 100 - 200 ml/ Continue reading >>

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  1. xgwsx

    still not in ketosis according to ketostix

    hi all
    so i started keto last thurs morning, so its been roughly been about 10 days. and i got ketostix two days ago and apparently i'm still not in keto...
    start weight: 147, 12-13% bf
    currently: been at 143 the past two days, was at 10-11% bf but now back at 12%
    i've tried to maintain a proper ratio. 60/35/5 on fat protein carb.
    eating 2250-2350cals a day, breakfast, meal 2, lunch, meal 4, dinner, meal 6 before bed as follows:
    m1: 415 cal, 24fat, 32protein, 3 net carb (~730)
    3 egg white, 1/4 cup of cheese, 3turkey bacon, 1string cheese, benefiber
    m2: 330cal, 25f, 27p, 2carb(~10)
    tuna with evoo and blue cheese, 2string cheese
    m3: 355cal, 25f, 28p, 4 net carb (~1230-1)
    salad, tuna as above
    m4: 390cal, 28f, 34p, 1carb (~330pm)
    1/3lb burger with cheese/cheddar/bluecheese
    m5: 408cal, 27f, 32p, 10carb(only on broc**** days, usually <5netcarbs) (~6pm)
    broc****, chicken breast/pork tenderloin/drumsticks, 1/4 cheese, string cheese, whip cream
    m6: 390cal, 25f, 30p, 2carb (<45min before bed)
    2 egg white omelet, 1/4 cup cheese, bacon/turkey bacon
    total everyday is ~2300cal, 154fat, 200protein, 20netcarbs
    am i doing something wrong? or is this good.
    thanks for the help
    i'm assuming i'm doing somethign right. because my weight has gone down a bit.. but just want to retain as much muscle as possible (hence wanting to be in keto!=))

  2. alexl53

    i've never used keto stix myself, but i've read that they aren't always accurate since ketones can exist in the blood, but at the same time not show up in urine, so that might be the issue.

  3. shadowwalker021

    ketostix are a pretty good indicator of ketosis but it's possible to be under ketosis and not register on a urinalysis.
    have you been working out or doing cardio pretty intensely? you might have used all of your blood-ketone bodies up as energy

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Diabetic Ketoacidosis In Children And Adolescents: An Update And Revised Treatment Protocol

Standardized pediatric-specific treatment is required to ensure safe correction of metabolic derangements associated with DKA. ABSTRACT: British Columbia has an estimated 150 to 200 new cases of type 1 diabetes in children annually. In these cases, 10% to 20% of patients will present in diabetic ketoacidosis (DKA). DKA is associated with significant fluid and biochemical derangements, necessitating a thoughtful, structured approach to its management. Recent gains have been made in knowledge about the pathophysiology and medical care of DKA and its most significant complication, cerebral edema. In response, BC Children’s Hospital has devised an updated medical protocol for managing DKA in infants, children, and adolescents that conforms to new international consensus guidelines. The protocol assists the medical practitioner in calculating fluid and electrolyte replacement needs for individual patients and outlines a plan for initial assessment and ongoing monitoring. Accompanying resources have also been developed to aid nursing, laboratory, and pharmacy colleagues to ensure that all children presenting with DKA in this province are managed following scientifically established gui Continue reading >>

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  1. connie7

    I used to use the ketostix every morning -- was in moderate zone most days. After a while I stopped checking. That was about 2 months ago. Last week, I took my daughter to college orientation session, and had some chicken nuggets at Chik-Fil-A (my only cheat in about 6 months), so when I got home I decided to check. The result was negative ketones, so I tried to go back to induction levels for a few days. It's been a week, and they still register negative every morning. Could the sticks have "gone bad"? The scale is not changing too much -- the normal fluctuations, but nothing dramatic. Should I go out and get some more ketostix, or just stick with it and not worry so much?

  2. hayes

    The sticks have a 6month shelf life after opening. The least little moisture inside the bottle can effect the reading also as can other conditions.
    If your very curious, get a new bottle.
    Remember that some people never make the sticks change color.

  3. omgtwins

    Because Ketosis stix don't really do much when it comes to encouragment - I don't use them. There are way too many variables - you could be in ketosis and it may not show, you are'nt in ketosis but loosing weight...IMNSHO I stick to the scale once a week and the measurements every month - the clothes in the back of the closet that are slowly moving up are also better indicators. You know what you're eating - good or bad, so save some money and get rid of those sticks!

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