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Diabetic Emergencies Notes

Medicine Notes > Diabetes (clinical) Notes

This is an extract of our Diabetic Emergencies document, which we sell as part of our Diabetes (clinical) Notes collection written by the top tier of Bristol University students.

The following is a more accessble plain text extract of the PDF sample above, taken from our Diabetes (clinical) Notes. Due to the challenges of extracting text from PDFs, it will have odd formatting:

Diabetic Emergencies?

Initial o o o o o o

investigations Physical examination Blood pressure & pulse Temperature Urine dipstick Capillary blood glucose Bloods
? FBC
? HCO3
? Serum glucose
? Serum ketones
? U+Es
? Venous blood gas
? Blood cultures o ECG o CXR Diabetic ketoacidosis o Definition
? Ketones in urine
? Metabolic acidosis
? Usually increased blood glucose (can be normal) o Causes
? Insulin omissions
? Sickness may cause this
? Illness
? More glucose made BUT more glucose needed
? Infection=DKA
? New presentation
? Trauma
? MI/ACS/Strokes o Symptoms and signs
? Symptoms
? Nausea and vomiting
? Abdo pain
? Altered sensation
? Blurred vision (aqueous humour becomes full of glucose)
? Coma
? Signs
? Dehydration
? Kussmaul breathing
? Hypotension
? Tachycardia
? Decreased consciousness
? Hyerventilation o Investigations
? History (cause? treatment history?)
? Clinical examination (Dehydration; Kussmaul breathing)

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