Management of adult diabetic ketoacidosis

Aidar R Gosmanov,1 Elvira O Gosmanova,2 Erika Dillard-Cannon3 1Division of Endocrinology, Diabetes and Metabolism, 2Division of Nephrology, Department of Medicine, 3Department of Microbiology, Immunology, and Biochemistry, University of Tennessee Health Science Center, Memphis, TN, USA Abstract: D...

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Autores principales: Gosmanov AR, Gosmanova EO, Dillard-Cannon E
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Publicado: Dove Medical Press 2014
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spelling oai:doaj.org-article:ae56a7841f52429fa67973d7503e08e82021-12-02T06:17:42ZManagement of adult diabetic ketoacidosis1178-7007https://doaj.org/article/ae56a7841f52429fa67973d7503e08e82014-06-01T00:00:00Zhttp://www.dovepress.com/management-of-adult-diabetic-ketoacidosis-a17420https://doaj.org/toc/1178-7007 Aidar R Gosmanov,1 Elvira O Gosmanova,2 Erika Dillard-Cannon3 1Division of Endocrinology, Diabetes and Metabolism, 2Division of Nephrology, Department of Medicine, 3Department of Microbiology, Immunology, and Biochemistry, University of Tennessee Health Science Center, Memphis, TN, USA Abstract: Diabetic ketoacidosis (DKA) is a rare yet potentially fatal hyperglycemic crisis that can occur in patients with both type 1 and 2 diabetes mellitus. Due to its increasing incidence and economic impact related to the treatment and associated morbidity, effective management and prevention is key. Elements of management include making the appropriate diagnosis using current laboratory tools and clinical criteria and coordinating fluid resuscitation, insulin therapy, and electrolyte replacement through feedback obtained from timely patient monitoring and knowledge of resolution criteria. In addition, awareness of special populations such as patients with renal disease presenting with DKA is important. During the DKA therapy, complications may arise and appropriate strategies to prevent these complications are required. DKA prevention strategies including patient and provider education are important. This review aims to provide a brief overview of DKA from its pathophysiology to clinical presentation with in depth focus on up-to-date therapeutic management. Keywords: DKA treatment, insulin, prevention, ESKDGosmanov ARGosmanova EODillard-Cannon EDove Medical PressarticleSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol 2014, Iss default, Pp 255-264 (2014)
institution DOAJ
collection DOAJ
language EN
topic Specialties of internal medicine
RC581-951
spellingShingle Specialties of internal medicine
RC581-951
Gosmanov AR
Gosmanova EO
Dillard-Cannon E
Management of adult diabetic ketoacidosis
description Aidar R Gosmanov,1 Elvira O Gosmanova,2 Erika Dillard-Cannon3 1Division of Endocrinology, Diabetes and Metabolism, 2Division of Nephrology, Department of Medicine, 3Department of Microbiology, Immunology, and Biochemistry, University of Tennessee Health Science Center, Memphis, TN, USA Abstract: Diabetic ketoacidosis (DKA) is a rare yet potentially fatal hyperglycemic crisis that can occur in patients with both type 1 and 2 diabetes mellitus. Due to its increasing incidence and economic impact related to the treatment and associated morbidity, effective management and prevention is key. Elements of management include making the appropriate diagnosis using current laboratory tools and clinical criteria and coordinating fluid resuscitation, insulin therapy, and electrolyte replacement through feedback obtained from timely patient monitoring and knowledge of resolution criteria. In addition, awareness of special populations such as patients with renal disease presenting with DKA is important. During the DKA therapy, complications may arise and appropriate strategies to prevent these complications are required. DKA prevention strategies including patient and provider education are important. This review aims to provide a brief overview of DKA from its pathophysiology to clinical presentation with in depth focus on up-to-date therapeutic management. Keywords: DKA treatment, insulin, prevention, ESKD
format article
author Gosmanov AR
Gosmanova EO
Dillard-Cannon E
author_facet Gosmanov AR
Gosmanova EO
Dillard-Cannon E
author_sort Gosmanov AR
title Management of adult diabetic ketoacidosis
title_short Management of adult diabetic ketoacidosis
title_full Management of adult diabetic ketoacidosis
title_fullStr Management of adult diabetic ketoacidosis
title_full_unstemmed Management of adult diabetic ketoacidosis
title_sort management of adult diabetic ketoacidosis
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/ae56a7841f52429fa67973d7503e08e8
work_keys_str_mv AT gosmanovar managementofadultdiabeticketoacidosis
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