[의학]당뇨병성 케톤산증(Diabetic ketoacidosis)
- 최초 등록일
- 2006.12.06
- 최종 저작일
- 2006.01
- 7페이지/
한컴오피스
- 가격 1,000원
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목차
1. Introduction
2. History
3. Pathophysiology
4. Laboratory Tests
5. Differential considerations
6. Management
7. Complications
본문내용
1. Introduction
* Definition
: a syndrome in which insulin deficiency and glucagon excess combine to produce a
hyperglycemic, dehydrated, acidotic patient with profound electrolyte imbalance
* Incidence
: 4.6 ~ 8.0 per 1000 person-yrs among pts with diabetes
: approximately 25% of all DKA pts → previously undiagnosed
: occurs in pts with type 1 DM and asso. with inadequate administration of insulin,
infection, or myocardial infarction(MI)
: also occur in type 2 pts and asso. with any type of stress(sepsis or GI bleeding)
* Cause
: cessation of insulin intake
: by physical or emotional stress despite continued insulin therapy
* Hyperosmolarity and dehydration
: most important determinant of pt`s mental status
참고 자료
1) DIABETIC KETOACIDOSIS, Principles of Disease
2) Diagnosis and treatment of diabetic ketoacidosis and the hyperglycemic hyperosmolar state Canadian Medical Association Journal
3) Diabetic ketoacidosis, Harold E Lebovitz
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