Cetoacidosis ada 2013 pdf

Cetoacidosis diabetica y sindrome hiperosmolar hiperglucemico. Diabetic ketoacidosis dka and hyperglycemic hyperosmolar state hhs are acute metabolic complications of diabetes mellitus that can occur in patients with both type 1 and 2 diabetes mellitus. Diabetic ketoacidosis dka critical care guideline two. Cetoacidosis diabetica, estado hiperosmolar hiperglucemico, hiperglucemia, insulina. Omission of insulin is the most common precipitant of dka. May 17, 2018 diabetic ketoacidosis dka and hyperglycemic hyperosmolar state hhs are acute metabolic complications of diabetes mellitus that can occur in patients with both type 1 and 2 diabetes mellitus. Sin embargo en ambas situaciones es importante realizar al ingreso una minuciosa valoracion clinica. In 2009, there were 140,000 hospitalizations for diabetic ketoacidosis dka with an average length of stay of 3. Diabetes care is complex and requires multifactorial risk reduction strategies beyond glycemic control. Orina completa con sedimento, especificando glucosa, cuerpos cetonicos, sodio y creatinina en orina. Ongoing patient selfmanagement education and support are critical to preventing acute complications and reducing the risk of longterm complications.

Standards of medical care in diabetesd2014 diabetes mellitus is a complex, chronic illness requiring continuous medical care with multifactorial risk reduction strategies beyond glycemic control. American diabetes association ada for the care of adult patients with hyperglycemic crisis and by the international society for pediatric and adolescent diabetes ispad for the care of children and adolescents with dka are excellent primary resources for diagnosis and management 1,2. Home material cientifico guias ada 2019, 2018, 2017, 2016, 2015. Jun 30, 2014 current american diabetes association recommendations suggest one of the two above options for intravenous insulin therapy with or without insulin bolus, considering a serum potassium 3. Timely diagnosis, comprehensive clinical and biochemical evaluation, and effective management is key to the successful resolution of dka and hhs. Clinical and laboratory progression of diabetic ketoacidosis. Diabetic ketoacidosis dka care guidelines critical care individual rates of bag 1 and bag 2 are dependent on glucose level with goal of maintaining glucose of 150300. Hyperglycemic crises in patients with diabetes mellitus. Diabetic ketoacidosis is characterized by a serum glucose level greater than 250 mg per dl, a ph less than 7. Cetoacidosis diabetica adolfo meier morales residente medicina interna 2.