Warning: Undefined variable $zfal in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 530
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 531
 
English Wikipedia
Nephropedia Template TP (
Twit Text
DeepDyve
Pubget Overpricing |  
lüll
Type 1 diabetes in children - emergency management Siafarikas A; O'Connell SAust Fam Physician 2010[May]; 39 (5): 290-3BACKGROUND: Fifteen to sixty-seven percent of patients with new onset type 1 diabetes mellitus (T1DM) present in diabetic ketoacidosis (DKA), of which approximately 79% initially see their general practitioner. Diabetic ketoacidosis is the most common cause of diabetes related deaths, mainly due to cerebral oedema that occurs in 0.4-3.1% of patients. OBJECTIVE: The aim of this review is to provide information to improve the early recognition of DKA and to provide guidelines for the initial management of DKA in the nonspecialist setting. DISCUSSION: Recognition of DKA can be improved by increasing the awareness for early clinical symptoms such as polyuria and polydipsia. It is important to include urinalysis and 'fingerprick' blood glucose and ketone measurements in the early assessment of patients with suspected T1DM and known T1DM, particularly if risk factors for DKA are present, to minimise serious complications and prevent fatal outcomes. Urgent referral to specialist centres for suspected new onset T1DM/DKA is required. Specific steps should be followed to ensure successful initial management of DKA in the nonspecialist setting before transfer.|Adolescent[MESH]|Australia[MESH]|Blood Chemical Analysis[MESH]|Blood Glucose/*analysis[MESH]|Child[MESH]|Child, Preschool[MESH]|Critical Illness/therapy[MESH]|Diabetes Mellitus, Type 1/complications/*diagnosis/*therapy[MESH]|Diabetic Ketoacidosis/diagnosis/*etiology/*therapy[MESH]|Early Diagnosis[MESH]|Emergencies[MESH]|Family Practice/standards/trends[MESH]|Female[MESH]|Fluid Therapy[MESH]|Follow-Up Studies[MESH]|Humans[MESH]|Insulin/*therapeutic use[MESH]|Male[MESH]|Practice Guidelines as Topic[MESH]|Risk Assessment[MESH]|Severity of Illness Index[MESH]|Treatment Outcome[MESH]|Urinalysis[MESH] |
