Diabetic ketoacidosis in the pediatric emergency department
Autor: | Laura Olivieri, Rose Chasm |
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Rok vydání: | 2013 |
Předmět: |
Pediatric emergency
Metabolic state medicine.medical_specialty Resuscitation endocrine system diseases Diabetic ketoacidosis business.industry Insulin medicine.medical_treatment Incidence (epidemiology) nutritional and metabolic diseases medicine.disease Cerebral edema Diabetic Ketoacidosis Diabetes mellitus Emergency Medicine Medicine Fluid Therapy Humans Blood Gas Analysis business Intensive care medicine Child Emergency Service Hospital |
Zdroj: | Emergency medicine clinics of North America. 31(3) |
ISSN: | 1558-0539 |
Popis: | Despite many advances, the incidence of pediatric-onset diabetes and diabetic ketoacidosis (DKA) is increasing. Diabetes mellitus is 1 of the most common chronic pediatric illnesses and, along with DKA, is associated with significant cost and morbidity. DKA is a complicated metabolic state hallmarked by dehydration and electrolyte disturbances. Treatment involves fluid resuscitation with insulin and electrolyte replacement under constant monitoring for cerebral edema. When DKA is recognized and treated immediately, the prognosis is excellent. However, when a patient has prolonged or multiple courses of DKA or if DKA is complicated by cerebral edema, the results can be devastating. |
Databáze: | OpenAIRE |
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