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How Do You Test For Ketoacidosis?

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What is POINT-OF-CARE TESTING? What does POINT-OF-CARE TESTING mean? POINT-OF-CARE TESTING meaning - POINT-OF-CARE TESTING definition - POINT-OF-CARE TESTING 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... Point-of-care testing (POCT), or bedside testing is defined as medical diagnostic testing at or near the point of care—that is, at the time and place of patient care. This contrasts with the historical pattern in which testing was wholly or mostly confined to the medical laboratory, which entailed sending off specimens away from the point of care and then waiting hours or days to learn the results, during which time care must continue without the desired information. Point-of-care tests are simple medical tests that can be performed at the bedside. In many cases the simplicity was not achievable until technology developed not only to make a test possible at all but then also to mask its complexity. For example, various kinds of urine test strips have been available for decades, but portable ultrasonography did not reach the stage o

Diagnostic Accuracy Of Point-of-care Testing For Diabetic Ketoacidosis At Emergency-department Triage

Diagnostic Accuracy of Point-of-Care Testing for Diabetic Ketoacidosis at Emergency-Department Triage -Hydroxybutyrate versus the urine dipstick Department of Clinical Emergency Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California Corresponding author: Sanjay Arora, [email protected] . Received 2010 Oct 4; Accepted 2011 Jan 7. Copyright 2011 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See for details. This article has been cited by other articles in PMC. In the emergency department, hyperglycemic patients are screened for diabetic ketoacidosis (DKA) via a urine dipstick. In this prospective study, we compared the test characteristics of point-of-care -hydroxybutyrate (-OHB) analysis with the urine dipstick. Emergency-department patients with blood glucose 250 mg/dL had urine dipstick, chemistry panel, venous blood gas, and capillary -OHB measurements. DKA was diagnosed according to American Diabetes Association criteria. Of 516 hyperglycemic subjects, 54 had DKA. The urine dipstick had a sensitivity of 98. Continue reading >>

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  1. Kyle imom

    Diagnosis: Diabetic Ketoacidosis
    Amount of estimate: $1622 - $2839.25
    IMOM Pledge: $1622 from the Diabetic Pets Fund
    We need to raise: up to $1217.25
    Caseworker: Kyle
    We had to move fast on this one. Knickers is a cat with diabetic ketoacidosis, a life threatening acute condition. Since there was no time for fundraising, and not a moment to lose, IMOM donated $1622, the low end of the estimate. Knickers is now receiving treatment.
    In order to complete the treatment, additional funds may be needed. Can you help? Please make a donation to the Diabetic Pets Fund at http://imom.org/donation/ Please mark your gift, "DPF - Knickers Perez."
    Thank you!

  2. ap2769

    Kyle imom said:

    Diagnosis: Diabetic Ketoacidosis
    Amount of estimate: $1622 - $2839.25
    IMOM Pledge: $1622 from the Diabetic Pets Fund
    We need to raise: up to $1217.25
    Caseworker: Kyle
    We had to move fast on this one. Knickers is a cat with diabetic ketoacidosis, a life threatening acute condition. Since there was no time for fundraising, and not a moment to lose, IMOM donated $1622, the low end of the estimate. Knickers is now receiving treatment.
    In order to complete the treatment, additional funds may be needed. Can you help? Please make a donation to the Diabetic Pets Fund at http://imom.org/donation/ Please mark your gift, "DPF - Knickers Perez."
    Thank you!

    I wanted to update everyone thats been following Knickers recovery. She is now stablized and is receiving IV and Insulin to regulate her system. She is responding well to the therapy. She is still not eating on her own but hopefully that will improve today.. I'm hoping to get some pictures of Knickers posted today so anyone who is interested can view her. Thank you everyone for your caring thoughts. I will post a new update later today..

  3. k2ofcu

    Donation just sent in via Paypal- $20 for Speckles, $20 for Knickers. Please retrieve from Paypal for their use & benefit. Thanks! KJK

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How to read and what you can tell from the results of urine test strips or urine dip sticks. Here we demo a URS5K test strip and talk buyers through the various conditions you can use the test strip to test for or monitor. We also give guidance on reading the results at the correct read times.

Urine Ketone Dip Test As A Screen For Ketonemia In Diabetic Ketoacidosis Andketosis In The Emergency Department.

Urine ketone dip test as a screen for ketonemia in diabetic ketoacidosis andketosis in the emergency department. (1)Department of Emergency Medicine, University Medical Center, Fresno, CA, USA. STUDY OBJECTIVE: To determine the sensitivity of the urine ketone dip test (UKDT)for the detection of ketonemia in patients with diabetic ketoacidosis (DKA) anddiabetic ketosis (DK) in the ED.METHODS: We conducted a retrospective chart review in the ED of an urban,university-affiliated county teaching hospital. The study population comprisedpatients seen in the ED during 1994 and 1995 with a discharge diagnosis of DKA orDK and underwent urinalysis within 4 hours of the initial serum electrolyte andketone determinations. We calculated test sensitivity, along with 95% confidence intervals (CIs).RESULTS: One hundred forty-eight patients with 223 occurrences diagnosed as DKAor DK were seen in the ED during the study period. One hundred fourteen patients with 146 occurrences of DKA or DK met all inclusion criteria; these patients madeup the study group. There were 99 cases of DKA and 47 cases of DK. Thesensitivity of the UKDT for the detection of ketonemia in all patients with DKAor DK was 97% ( Continue reading >>

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  1. Sydne Newberry

    Ketosis

    Protein (nutrition)

    Biochemistry



    When does protein sparing occur during ketosis?




    1 Answer








    Ketosis refers to the body’s adaptation to breaking down fatty acids to provide energy when caloric intake from carbohydrates is severely limited. Protein sparing is not part of this-quite the opposite! Very low calorie, low carb diets cause muscle breakdown. To try to limit this loss of muscle, we try to provide all energy in the form of lean protein. It works to some extent but not completely.

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    Related Questions



    Is chicken preferred during ketosis?


    Is jogging good during ketosis?


    Where does protein synthesis occur?


    When does protein synthesis occur?


    How does protein metabolism occur?


    How does protein catabolism occur?


    Can I take creatine during ketosis?


    How does lipidation of a protein occur?


    Is ketosis safe?


    Biochemistry: Does ketosis increase protein carbonylation (through ketones)?
    Ask New Question

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South Indian Diabetic Breakfasts

Diabetic Ketoacidosisworkup

Author: Osama Hamdy, MD, PhD; Chief Editor: Romesh Khardori, MD, PhD, FACP more... Diabetic ketoacidosis is typically characterized by hyperglycemia over 250 mg/dL, a bicarbonate level less than 18 mEq/L, and a pH less than 7.30, with ketonemia and ketonuria. While definitions vary, mild DKA can be categorized by a pH level of 7.25-7.3 and a serum bicarbonate level between 15-18 mEq/L; moderate DKA can be categorized by a pH between 7.0-7.24 and a serum bicarbonate level of 10 to less than 15 mEq/L; and severe DKA has a pH less than 7.0 and bicarbonate less than 10 mEq/L. [ 17 ] In mild DKA, anion gap is greater than 10 and in moderate or severe DKA the anion gap is greater than 12. These figures differentiate DKA from HHS where blood glucose is greater than 600 mg/dL but pH is greater than 7.3 and serum bicarbonate greater than 15 mEq/L. Laboratory studies for diabetic ketoacidosis (DKA) should be scheduled as follows: Blood tests for glucose every 1-2 h until patient is stable, then every 4-6 h Serum electrolyte determinations every 1-2 h until patient is stable, then every 4-6 h Glaser NS, Marcin JP, Wootton-Gorges SL, et al. Correlation of clinical and biochemical findings wit Continue reading >>

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  1. szwicker

    Still a newcomer here. I'm doing BP coffee in the morning with Brain Octain(1 tbsp) & kerrygold butter, no problem there and I usually fast.
    I've also started weightlifting to get healthy. I'm currently an obese 269 lbs (5'6").
    With weightlifting there's need push to drink protein shakes, consume more calories, etc, bpaa powder, createin, etc.
    I'm attempting to reconcile this with the desire to get into (and stay in) ketosis.
    They seem to have conflicting goals. I was surprised to learn that even protein powder (I have the collagen variety) would kick me out of ketosis.
    I'm looking for advice on how to proceed. As of now, I'm concerned that I'm not supplementing my weight lifting well enough to fully use it and I'm not ketosis either.
    Any guidance is greatly appreciated!
    Edit:
    In terms of protein shakes: what if I were to swap out protein powder for raw egg whites?

  2. Jason Miller

    I wouldn't advise sacrificing protein for ketosis, protein is excellent for metabolism, has the highest thermic effect of all the macros, and will contribute to increasing lean tissue (also raising metabolism).

  3. szwicker

    Got it. I've been using collagen protein powder? Will that work? And I see a great many products (BCAAs and the like) are sweetened. Is the sweetener amount negligible to the point that I shouldn't worry about it?
    I'd like to start adding protein shakes back into my routine. It's easy after a workout and sometimes more practical when I'm too busy to worry about fixing a proper meal.

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