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Diabetic Emergencies Notes

This is a sample of our (approximately) 3 page long Diabetic Emergencies notes, which we sell as part of the Diabetes (clinical) Notes collection, a 1st package written at Bristol University in 2014 that contains (approximately) 11 pages of notes across 4 different documents.

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Diabetic Emergencies Revision

The following is a plain text extract of the PDF sample above, taken from our Diabetes (clinical) Notes. This text version has had its formatting removed so pay attention to its contents alone rather than its presentation. The version you download will have its original formatting intact and so will be much prettier to look at.

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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