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What Is The Meaning Of Ketoacidosis?

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RI hospitals have high readmission rates, according to new study

Variation In Resource Use And Readmission For Diabetic Ketoacidosis In Childrens Hospitals

Variation in Resource Use and Readmission for Diabetic Ketoacidosis in Childrens Hospitals Joel S. Tieder, Lisa McLeod, Ron Keren, Xianqun Luan, Russell Localio, Sanjay Mahant, Faisal Malik, Samir S. Shah, Karen M. Wilson, Rajendu Srivastava, for the Pediatric Research in Inpatient Settings Network OBJECTIVE: We sought to characterize variation in hospital resource utilization and readmission for diabetic ketoacidosis (DKA) across US childrens hospitals. METHODS: The study sample included a retrospective cohort of children aged 2 to 18 years with a diagnosis of DKA at 38 childrens hospitals between 2004 and 2009. The main outcomes were resource utilization as determined by total standardized cost per hospitalization, overall and non-ICU length of stay (LOS), and readmission for DKA within 30 and 365 days. RESULTS: There were 24 890 DKA admissions, and 20.3% of these were readmissions within 1 year. The mean hospital-level total standardized cost was $7142 (range $4125$11 916). The mean hospital-level LOS was 2.5 days (1.53.7), and the non-ICU portion was 1.9 days (0.72.7). The mean hospital-level readmission within 365 days was 18.7% (6.5%41.1%) and within 30 days was 2.5% (0.0%7. Continue reading >>

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  1. Skie

    Can You Use Ketone Sticks to "Diagnose"?

    I'm not on a low carb diet as far as I know, so having these in the urine would be a possible diabetes sign, right? Is it a safe idea to get a package and see what my results are? Or is this just a silly idea? I'm still working out arrangements to go see a doctor and get tested, but in the mean time while I figure that out with my friends, I figure something like this might be useful to get an idea of where I stand in the matter... Course I wish I could borrow a meter too, but alas... Don't know anyone who'd let me...

  2. Shanghaied Guy

    I think your blood sugars have to be extremely high before ketones would show up in your urine if you have not been on ketogenic diet (very low carb) for several days.
    You can get a free meter here: https://www.onetouchgold.com/simplestart/, but you will still need to buy the strips.
    Where do you live? If you live in Shanghai, I will buy you a cup of coffee some morning and test your BG. We diabetics are always curious about the blood sugar of other people and sometimes try to cajole our family and friends into testing their morning fasting blood sugar. If you want to disclose where you live, maybe somebody here at DD can help you out with the use of a meter.
    Tell us a bit about yourself. Do you have a family history of diabetes? How old are you? Are you overweight? Have you ever had high blood glucose on a test? What symptoms do you have that lead you to suspect diabetes?
    Be well.

  3. hannahtan

    i wouldn't dx yourself with just a ketostix... if there are sugar and ketones in the urine... it is a sign of diabetes... if ketones alone... i'm not sure... that is why i will not simply just assume i'm a diabetic based on a ketostix result...
    if you can't borrow a meter... can you just go to a pharmacy and get a simple finger bg test done? if it is high... and from the ketostix result which shows ketones as positive... please go see a doc immediately... but if bg is good...i wouldn't worry a lot... but still see a doc to get a proper diagnosis

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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

The Many Faces Of Diabetic Ketoacidosis

Upon perusal of the www.healthcentral.diabeteens.com web site, there appears to be pervasive discussions of Diabetic Ketoacidosis (DKA) and its various permutations. I wanted to define and discuss the multiple situations leading up to DKA and talk about the mythical condition of “brittle” diabetes. What is diabetic ketoacidosis? DKA results when there is insufficient insulin to enable carbohydrates to enter into the body’s cells. As a result, the body must metabolize fat and muscle to manufacture energy. This process is extraordinarily inefficient and leads to the development of ketones, a by product of fat breakdown. The blood ketones accumulate and can lead to increased acid in the blood resulting in serious consequences such as vomiting, loss of consciousness, potential coma or death. Because glucose cannot get into the cells, the concentration increases in the blood and thereby causes increased drinking, increased thirst and increased urination resulting in dehydration. Dehydration, in association with acidosis (increased levels of acid in the blood), leads to a condition known as Diabetic Ketoacidosis. The treatment of DKA involves IV fluids to allow for rehydration, an Continue reading >>

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  1. TheCommuter

    You can post this question on this site's Nursing Student Assistance Forums and perhaps get an answer. One of our frequent users, Daytonite, loves to give detailed answers to these types of questions.
    http://allnurses.com/forums/f205/

  2. ICRN2008

    Here is the formula for anion gap:
    Agap = Na + K - Cl -CO2
    I would think that the doctor would be monitoring the glucose level (not the agap) to determine when to stop the insulin drip. Anyone else have an idea?

  3. P_RN

    One of our wonderful members Mark Hammerschmidt has a great FREE MICU site:
    http://www.icufaqs.org/
    Check section 4.2
    It's all acidosis/alkalosis

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What is KETOACIDOSIS? What does KETOACIDOSIS mean? KETOACIDOSIS meaning - KETOACIDOSIS definition - 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... Ketoacidosis is a metabolic state associated with high concentrations of ketone bodies, formed by the breakdown of fatty acids and the deamination of amino acids. The two common ketones produced in humans are acetoacetic acid and ß-hydroxybutyrate. Ketoacidosis is a pathological metabolic state marked by extreme and uncontrolled ketosis. In ketoacidosis, the body fails to adequately regulate ketone production causing such a severe accumulation of keto acids that the pH of the blood is substantially decreased. In extreme cases ketoacidosis can be fatal. Ketoacidosis is most common in untreated type 1 diabetes mellitus, when the liver breaks down fat and proteins in response to a perceived need for respiratory substrate. Prolonged alcoholism may lead to alcoholic ketoacidosis. Ketoacidosis can be smelled on a person's breath. This is due to acetone, a direct by-product of the sp

Meaning Diabetic Ketoacidosis

What does Diabetic ketoacidosis mean? Here you find 7 meanings of the word Diabetic ketoacidosis. You can also add a definition of Diabetic ketoacidosis yourself 2. 0 0 diabetic ketoacidosis (KEY-toe-ass-ih-DOH-sis) an emergency condition in which extremely high blood glucose levels, along with a severe lack of insulin, result in the breakdown of body fat for energy and an accumulation of ketones in the blood and urine. Signs of DKA are nausea and vomiting, stomach pain, fruity breath odor and rapid breathing. Untreated DKA can lead to [..] 7. 0 0 Diabetic ketoacidosis An emergency condition in which extremely high blood glucose concentrations, along with a severe lack of insulin, result in the breakdown of body fat for energy. Ketones accumulate in the blood and urine. Signs of DKA include vomiting, fruity breath odour, and rapid breathing. Untreated DKA can lead to coma and death. Continue reading >>

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  1. Kingleonidas

    Metformin and DKA>>

    Just wondering, I have read that taking metformin without food can lead to dka, or does this usually pertain to people who eat absolutely nothing or very little all day?
    I am going to start my 850mg three times a day at about 4-5am, 9-10am, then again at the end of the day when I go to bed.
    Has anyone had a problem with metformin and dka?
    Thanks.

  2. MarkM

    no, metformin won't cause dka. its main action is to inhibit glycogenolysis. only insufficient insulin will cause dka. metformin can cause lactic acidosis, but it is not the same thing as ketoacidosis (dka).

  3. Ken S

    Studies have also shown that the risk of getting lactic acidosis with or without taking metformin is about the same. This is an extremely rare affliction that only really seems to affect patients with serious preexisting health problems. It's really not an issue to be concerned about.
    As for DKA, metformin is contradicted in cases where patients are experiencing symptoms of DKA, and therefore it may be surmised that it may worsen this condition, although it does not seem to cause it.

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