[Diabetic ketoacedosis].
The diagnosis of diabetic ketoacedosis (DKA) may be based upon simple biochemical findings. Measurement of b-hydroxybutyrate in blood may replace semi-quantitative measurement of acetoacetic acid in urine. A list of criteria of graduating severity is suggested for the selection of patients to be treated in intensive care units. During treatment, intensive rehydration with sodium chloride for a longer period may induce metabolic acidosis. Terminating a regimen of intravenous insulin infusion requires knowledge of the difference in the duration of action of intravenous versus subcutaneous insulin.
Bak
Jens Friis
JF
Medicinsk-endokrinologisk Afdeling C, Arhus Sygehus, Arhus. jens.bak@dadlnet.dk
D020155:3-Hydroxybutyric Acid / Q000097:blood; D016883:Diabetic Ketoacidosis / Q000097:blood / Q000175:diagnosis / Q000628:therapy; D005440:Fluid Therapy; D006801:Humans; D006943:Hyperglycemia / Q000175:diagnosis; D007328:Insulin / Q000008:administration & dosage
D007328:Insulin; D020155:3-Hydroxybutyric Acid