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Pediatric Dka Case Scenario

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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

Current Variability Of Clinical Practice Management Of Pediatric Diabetic Ketoacidosis In Illinois Pediatric Emergency Departments

ObjectiveThis study aimed to investigate the management of pediatric patients with diabetic ketoacidosis (DKA) presenting to emergency departments (EDs) participating in the Illinois Emergency Medical Services for Children (EMSC) Facility Recognition program. MethodsIn 2010, Illinois EMSC conducted a survey (including case scenarios) and medical record review regarding management of pediatric patients with DKA. Data were submitted by 116 EDs. ResultsSurvey response rate was 94%. Only 34% of EDs had a documented DKA guideline/policy; 37% reported that they did not have hospital adult or pediatric endocrinology services. Case scenarios identified a high percentage of respondents given an intravenous (IV) isotonic sodium chloride solution of 10 to 20 mL/kg during the first hour. However 17% to 21% would use an alternative choice such as administering initial IV solution of 0.45 sodium chloride, initiating an insulin drip before fluids, or waiting for more laboratory results before giving fluids or insulin. A total of 532 medical record reviews were submitted. In 87% of records, patients received an initial IV isotonic sodium chloride solution within the first hour. In 74%, patients r Continue reading >>

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  1. Ingvildr

    My son gets ketototic hypoglycemia, not terribly uncommon in skinny kids. He is almost seven and decided he wasn't going to eat dinner(he didn't like what was served-new foods). He woke up this morning feeling bad and his dad wasn't paying attention(watching tv) until he started vomiting. We almost ended up taking him to the doctor because we couldn't get him to stop until around noon. I took his blood sugar(I'm diabetic) after some apple juice and it was 72. I finally got enough kept down him to get him feeling better and eating. I can still smell ketones on his breath. He is an extremely picky eater and it is hard to get him to eat outside of a narrow range of foods and he would rather go hungry than eat something he doesn't want. It makes it difficult to get new foods into him. Any advice other than make sure he eats before bed(I already know that). He won't eat meat except for chicken nuggets and mild sausage or fish sticks, bleh. He eats most any bread, most fruit and some raw vegies which is up from only carrot sticks. He eats most dairy but noodles only with cheese and rice and no other grain or pasta. He is allergic to corn and soy and I make most of his food from scratch. Strangely enough he likes most seasonings except spicy/peppery and prefers seasoned food. They only way I can get him to try new foods is to serve them first and hold the rest of his meal hostage until he eats the new food, usually about a teaspoon sized serving.

  2. Elliot

    You may be able to find something that works within his preferences. If he likes fruit and dairy, that alone can be an almost complete diet. If you add in gelatin I think it could work well.

  3. Ingvildr

    He also eats peanut butter-day in and day out. If I never see another jar of peanut butter......

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In this video, Dr. Michael Agus discusses the risk factors, signs, symptoms, and treatment of cerebral edema in diabetic ketoacidosis. Please visit: www.openpediatrics.org OPENPediatrics is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: [email protected] Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.

High Fidelity Simulation Case: Teaching Diabetic Ketoacidosis With Cerebral Edema

High Fidelity Simulation Case: Teaching Diabetic Ketoacidosis with Cerebral Edema To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications. Diabetic ketoacidosis is a common complaint throughout the emergency departments of the United States. However, the subsequent development of cerebral edema is a rarely encountered and critical clinical entity. Though residents and medical students have a great deal of exposure through their clinical time to diabetic ketoacidosis, very few have the opportunity to witness the development of cerebral edema and aid in its management. It is for this reason that this simulation has been developed to prepare the learner for the actual disease process should it occur. This simulation case goes through the recognition and management of this challenging condition. The learner should demonstrate expected competencies in the management of both clinical entities however the primary focus is in the simulation of the development and subsequent management of cer Continue reading >>

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  1. blondecoyotee

    I'm pretty new to this so I'd love some feedback on how switching to the Keto way of eating affects women. Specifically her hormones and menstruation.

  2. AmandaJones

    My periods have become more "normal." I was on birth control for 16 years, and after I quit taking it, over two years ago now, my periods never went back to normal (pre birth control) until now. Before keto, I still had a lot of spotting before and after my period and that has been greatly reduced. Also, my period is now about three days longer than before. Idk if most would think of that as a good thing, but I have been trying to conceive for the last two years unsuccessfully, so a return to a normal five day period is a step in the right direction, I think, as I'm considering this an increase in the health of my uterine lining.

  3. nvmomketo

    I've been keto (mostly) for about a year and a half. In that time I've found that being keto has help with my cycles. I am more regular, have less pms (less fatigue, acne, migraines) and have even had less cramoing.

    ... All good considering I am in my 40s and probably dancing on the edge of perimenopause.

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Big baby syndrome Macrosomic baby Average weight of newborn is 2.5 to 3.5 kg Cause of macrosomia: poorly controlled diabetes in mother Why diabetes cause macrosomia ? Just remember INSULIN IS AN ANABOLIC HORMONE THATSY most common congenital defect : TGA TRANSPOSITION OF GREAT ARTERIES.

Case Based Pediatrics Chapter

This is a 9 year old boy who has enjoyed his usual state of good health until his polyuria started 2 months ago. He began to lose weight and reported worsening nocturia over this same period. His appetite increased although lately he has more episodes of stomachaches. Today, he had a noticeably sweet smell to his breath and he was breathing faster than usual so his mother brought him to his pediatrician. Exam: VS T 37.0, RR 44, P 92, BP110/60, oxygen saturation 100% on room air. His weight was 25 kg (25%tile). He is alert and cooperative. His skin is warm to his wrists and ankles. His oral mucous membranes are tacky. His capillary refill is 3 seconds over his chest. His skin was otherwise normal. His thyroid gland is approximately 1.5 times the normal size. His heart rate is regular. He is slightly tachypneic with clear breath sounds. His reflexes are normal. His abdomen has normal bowel sounds has no tenderness. His genitalia and pubic hair are in Tanner stage I. The rest of the physical examination is unremarkable. His pediatrician suspects new onset diabetes mellitus. A urine dipstick in the office shows 4+ glucose and 2+ ketones. No other dipstick abnormalities are noted. He i Continue reading >>

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  1. needtolose4me2

    since last week when I messed up and had some ad carbs one day, I basically started over Tuesday. I was really good all day Tuesday and Wednesday. Wednesday night I used a ketosis stick and it came up "trace". is that normal?should it take longer to get into ketosis? I was doing good the first 3 weeks (however not measuring my ketone levels) then all of a sudden I gained 2 pounds at which point I got aggrivated and screwed up for one day. the next day I got right back in the groove. I know my carbs are low, Ihaven't gotten on a scale,but this trace amount of keytones is concerning me. DO you think I should do some kind of fast (could onl really stomach the macadamia nut one) or wait it out a bit longer?
    thanks
    maggie

  2. JerseyGyrl

    I would not be too concerned about the Ketosis Stix....they have been known to not be accurate. If you are drinking a lot of water (as you should be) or eating a lot of fat & protein, they can give you false readings.
    Eating something you shouldn't, can definately knock you out of ketosis. Getting back into ketosis can vary depending on the person.
    As far as "fasts" are concerned, personally, I woudn't consider a fast unless I was in a very serious stall (not losing lbs OR inches). My best advice to you is to do a clean induction (only real foods..meat,eggs,cheese, veggies, etc) and be patient. Sometimes we get so anxious to lose the unwanted pounds we forget that we didn't gain them overnite & we aren't going to lose them overnite.
    All the best to you,
    Kim

  3. Tiffany_Bracelet

    For me, it depends on the amount of water and foods that I consume. Ketosis makes my mouth really dry....so I don't go into a deep ketosis like I have before with the meat/egg fast.

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