Condition Info - BotMed Application

ConditionName

Diabetic ketoacidosis (DKA)

ConditionDescription

Symptoms

Generalized abdominal pain in children;
Hyperventilation; Polydipsia; polyuria; weakness;
Altered mental status; Dry mucous membranes; decreased skin turgor; Fruity odor; Nausea and vomiting; but no diarrhea;

PhysicalFindings

Kussmaul respirations

ClinicalTests

Measure of severity: serum bicarb;
↑K in blood, but ↓total body K (without insulin K can’t enter the cell), ↑K in urine;
↑serum for ketones;
↑Glucose (300-800);
High anion gap metabolic acidosis;

RiskFactors

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

DM 1, sometimes DM2 in combination of:
Infections (pneumonia, GE, UTI);
Medication;
MI, CVA, trauma;
Dehydration;
Alcohol;
Drug abuse;
Steroids --> dehydration --> DKA;

TreatmentOptions

Correct underline cause (medication, infection);

PharmOptions

Large isotonic and insulin replacement;
Replace K when level of K come down (IV K) and other electrolytes (Ca, Mg, P);

WebLink

https://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/diabetes-mellitus-and-disorders-of-carbohydrate-metabolism/diabetic-ketoacidosis-dka