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lunes, 21 de diciembre de 2015

Cetoacidosis diabética

EM Didactics - December 21, 2015 - By Lakshay Chanana 
"This episode talks about diabetic ketoacidosis.
Some key points on how insulin maintains normoglycemia before we end with a couple of clinical take home points.
Key Points:
  • Insulin shifts GLUT4 from the cytoplasm to the cell membrane to facilitateglucose uptake.
  • Majority of KB produced in DK is Beta Hydroxybutyrate but urine dipsticks donot detect this. Go one step further and ask for serum ketones.
  • Treatment of DKA (in order)
    • Hydration then watch potassium and only then Insulin infusion (No bolus)
  • Ask yourself - What is the precipitating event?
  • Venous pH is acceptable"
http://emdidactic.blogspot.com.es/2015/12/understanding-diabetic-ketoacidosis.html