ketoacidosis

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ketoacidosis

[‚kēd·ō‚as·ə′dō·səs]
(medicine)
McGraw-Hill Dictionary of Scientific & Technical Terms, 6E, Copyright © 2003 by The McGraw-Hill Companies, Inc.
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Prolongation in the QTc interval during diabetic ketoacidosis (450 ms and above) was found to be greater compared with DK and this result was statistically significant (p=0.046) (Prolongation in the QTC interval during DKA and DK is shown in Table 3).
To address these issues, the team changed the order set to use normal saline for all suspected DKA patients without waiting for lab results.
A presumptive diagnosis of diabetic ketoacidosis (DKA), sepsis, vasoplegia, and acute renal failure was made and the patient was treated with aggressive IV fluids (crystalloids), norepinephrine, 300 meq of sodium bicarbonate, calcium chloride, and 20 units of actrapid insulin IV bolus, along with an insulin drip (10 U/h).
and shows that one should think of AEN as a differential diagnosis when a 65-year-old or older male presents with DKA and hematemesis [8].
In their study 2% of the T1DM presented with DKA at the time of diagnosis while 21% had positive history of DKA.30 The reason for low frequency is that the study was carried at an outdoor centre while our study was carried at the tertiary care hospital, which has a lot of patient load pouring in from the whole province because of availability of Diabetic specialists and free insulin.
Cleveland Clinic researchers found that while DKA is fairly common among individuals with type 1 diabetes, DKA may also develop in insulin-deficient patients with type 2 diabetes.
Because of these, DKA can be misdiagnosed as acute abdomen, possible severe gastroenteritis, acute asthma, or pneumonia if the parents are not asked about a history of polyuria and polydipsia.
Among children with DKA in group A compared to group B, mild ketoacidosis (pH < 7.3-7.2 [greater than or equal to]) was observed in 52% (21/40) versus 43% (32/74) of cases, respectively, OR 1.45 95% CI 0.67-3.1, P = 0.432; moderate ketoacidosis (pH 7.2-7.1>) was noted in 20% (8/40) versus 27% (32/74) of cases, respectively, OR 0.68 95% CI 0.27-1.7, P = 0.497; and severe ketoacidosis (pH < 7.1) appeared in 28% (11/40) versus 30% (22/74) of cases, respectively, OR 0.50 95% CI 0.22-1.1, P = 0.110.
"I had DKA - diabetic ketoacidosis - where your blood sugar levels go too high and no matter how many injections you give yourself, you can't control it.
"Phoebe was diagnosed with DKA and Type 1 diabetes at the age of 18 T months.