Diabetes complication and pathophysiology of the complication duration. The diabetes with dka clinical pathway is a detailed plan of the course of care for pediatric patients seen in the emergency department with diabetic ketoacidosis. Diabetic ketoacidosis dka is a dangerous complication faced by people with diabetes which happens when the body starts running out of insulin. In brief diabetic ketoacidosis dka is a lifethreatening complication that frequently occurs at diagnosis of type 1 diabetes, occurs more commonly when a patient is misdiagnosed, is the leading cause of death in children with type 1 diabetes, and is associated with worse longterm outcomes. Diabetic ketoacidosis dka powerpoint ppt presentation. The standards of medical care in diabetes is updated annually, or more frequently online if new evidence or regulatory changes merit immediate incorporation, and is published in diabetes care. Dka is defined by a lack of insulin or an excess of hyperglycemic hormones leading to an inability by the tissues to use glucose. The rate of progression is dependent on the age at first detection of antibody, number of antibodies, antibody specificity, and antibody titer. Our new crystalgraphics chart and diagram slides for powerpoint is a collection of over impressively designed datadriven chart and editable diagram s guaranteed to impress any audience. The clinical presentation of diabetic ketoacidosis in pregnancy dkp is similar to that observed in nonpregnant women, although reports suggest the presenting blood glucose level may not.
Dka is a far more characteristic feature of type 1 than of type 2 diabetes but may be seen in persons with type 2 diabetes under conditions of stress. Download diabetes hypoglycemia and other similar templates with a simple design, and run them using microsoft powerpoint. Although it can occur in patients with type 2 diabetes during periods of severe. Sep 11, 2017 diabetic ketoacidosis diabetes type i management summary armando hasudungan. However, the child differs from the adult in a number of characteristics. Dka is the most serious presenting symptom of type 1. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects.
The template is created suitable for all areas of business and marketing. Diabetic ketoacidosis and hyperglycemic hyperosmolar state. Mar 31, 2017 guidelines and position statements from medical organisations are widely used by clinicians to guide the care of their patients. Diabetes type 1, with dka clinical pathway emergency children s hospital of philadelphia. Updates in the management of diabetic ketoacidosis the. Discontinuation of insulin, whether unintentional or deliberate. Dka is commonly associated with type 1 but type 2 diabetics are also susceptible. Diabetic ketoacidosis an overview sciencedirect topics. Diabetic ketoacidosis in children what you need to know. Although dka and hhs are often discussed as separate entities, they represent points along a spectrum of hyperglycemic emergencies due to poorly controlled diabetes. As the lack of insulin restricts the 3 utilisation of glucose for energy, the body breaks down fat as the alternative form of energy. In most cases, if the first presentation of diabetes is with dka, it is likely that.
Recent epidemiological studies indicate that hospitalizations for dka in the u. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that todays audiences expect. Diabetic ketoacidosis dka and hyperglycemic hyperosmolar state hhs are the most serious and lifethreatening hyperglycemic emergencies in patients with diabetes. Diabetic ketoacidosis dka explained clearly diabetes. Diabetic ketoacidosis dka is the hallmark of absolute insulin deficiency. This section focuses on the medical management of type 2 diabetes. Although it can occur in patients with type 2 diabetes during periods of severe stress, dka primarily occurs in patients with. Diabetes type 1, with dka clinical pathway emergency. High anion gap metabolic acidosis due to excessive blood concentration of ketone bodies ketoanion. Glucose and a1c levels rise well before the clinical onset of diabetes, making diagnosis feasible well before the onset of dka. Diabetic ketoacidosis dka is a lifethreatening complication of diabetes mellitus. Diabetic ketoacidosis dka a state of absolute or relative insulin deficiency aggravated by ensuing hyperglycemia, dehydration, and acidosisproducing derangements in intermediary metabolism, including production of serum acetone. View and download powerpoint presentations on ketoacidosis nursing care ppt.
Diabetic ketoacidosis and hyperglycemic hyperosmolar state risk factors for dka in patients with known dia betes include insulin omission, poor metabolic control, previous episodes of dka, gastroenteritis with per. Diabetic ketoacidosis tintinallis emergency medicine. Diabetic ketoacidosis dka management algorithm adult. A variety of factors may contribute to deliberate insulin. View and download powerpoint presentations on dka ppt. When blood sugar levels are too high and insulin levels are too low. Mar 12, 2017 epidemiology dka accounts for 14% of all hospital admissions of patients with diabetes and 16% of all diabetesrelated fatalities. The template is multipurpose, professional, clean, creative and simple. Posts diabetic ketoacidosis nursing management ppt posted in complementary therapies diet and nutrition yoga for type 2 diabetes tagged evidence for yoga and diabetes scientific evidence for yoga and obesity on june 28 pre diabetes diet recipes insulin dosing guidelines type 2 diabetes im sorry about your mom.
Diabetic ketoacidosis is a serious complication of type 1 diabetes, though its sometimes seen in people with type 2 diabetes. Indications like uncontrolled urination, increased appetite, and excessive thirst, mark as symptoms of diabetes. Dka, or diabetic ketoacidosis is associate with type 1 diabetes so its insulin dependent diabetes. Diabetic ketoacidosis dka, a lifethreatening complication of diabetes mellitus dm, occurs more commonly in children with type 1 dm than type 2 dm. Diagnostic criteria blood glucose 250 mgdl ph 12 ketonemia. Table 1 outlines the diagnostic criteria for dka and hhs. Management of diabetic ketoacidosis ppt download slideplayer.
Diabetic ketoacidosis dka is a lifethreatening condition caused by dangerously high blood sugar levels. Dka happens when your blood sugar is very high and acidic substances called. While it can occur in all types of diabetes mellitus, it is seen most often in patients with type 1 diabetes. Prompt diagnosis, assessment of key laboratory values, appropriate. Diabetes mellites diabetes mellitus is a group of metabolic disease results from the production of insufficient amount of insulin by the pancreas. Diabetic ketoacidosis dka is a potentially lifethreatening manifestation of type 1 diabetes, the incidence of which has increased from 3. Argy resident february, 2007 diabetic ketoacidosis dka a state of absolute or relative insulin deficiency aggravated. Diabetic ketoacidosis at diagnosis of type 1 diabetes.
Metabolic encephalopathy is a rare but potentially devastating complication of diabetic ketoacidosis dka. Diabetic ketoacidosis dka is an acute, lifethreatening complication of diabetes mellitus. In new onset diabetes, dka is frequently the consequence of a delay in diagnosis e. Pdf diabetic ketoacidosis in children researchgate.
This article outlines updates in the clinical management of. Seheult of this is video 1 of 2 on diabetic ketoacidosis. Hello, are you looking for article nursing care plan for diabetes mellitus ppt salemfreemedclinic. Powerpoint slide on diabetic ketoacidosis dka compiled by alairic reuben. Nurse practitioners are well positioned to promote patient education, selfmanagement, and individualized patient care. Signs and symptoms may include vomiting, abdominal pain, deep gasping breathing, increased urination, weakness, confusion and occasionally loss of consciousness. For this reason diagnosis and monitoring of dka invariably include measurement of arterial blood gases. Diabetic mellitus diabetes mellitus, known widely as diabetes, is a chronic disease, identified by high blood sugar levels over a perpetual time period. It happens predominantly in those with type 1 diabetes, but it can occur in those with type 2 diabetes under certain circumstances. Dka is frequently observed in diagnosis of type 1 diabetes and often indicates this diagnosis 3%. Every 1% rise in hba1c level risk of diabetes related death increases by 21% case scenario 58 female t2dm, portuguese, does not speak english, not complying with medication or dietary advice, admitted with hyperglycaemia and seizures.
Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that. Specific concise statements that act as markers of high. It is the intensified form of type 1 diabetes and is rarely found in type 2 diabetes. If it is true we are very fortunate in being able to provide information nursing care plan for diabetes mellitus ppt salemfreemedclinic and good article nursing care plan for diabetes mellitus ppt salemfreemedclinic this could benefitsolution for you. It can also occur in patients with other types of diabetes. Free download diabetes mellitus powerpoint presentation slides. Hyperglycemic crises in adult patients with diabetes. Ppt diabetic ketoacidosis dka powerpoint presentation, free. Apr 01, 2018 diabetic ketoacidosis dka a state of absolute or relative insulin deficiency aggravated by ensuing hyperglycemia, dehydration, and acidosisproducing derangements in intermediary metabolism, including production of serum acetone. Insulin has several actions, depending on the concentration present in the circulation. Type 1 type 2 gestational diabetes prediabetes type 1 diabetes. A medical emergency and remains a serious cause of morbidity, principally in people with type 1 diabetes however, an increasing number of patients presenting with dka have underlying type 2 diabetes. Understand diabetic ketoacidosis dka with this clear explanation from dr.
The aims of this case report are to highlight metabolic encephalopathy as a complication of dka and to explore the current research in diabetic related brain injury. Ppt diabetic ketoacidosis powerpoint presentation free. Diabetic ketoacidosis dka in patients with type 1 diabetes is a medical emergency that may present with neurologic signs and symptoms. Ppt diabetic ketoacidosis powerpoint presentation free to. It occurs predominantly in people with type 1 diabetes, although it is occasionally seen in type 2 diabetes or gestational diabetes as well. In the decade from 1996 to 2006, there was a 35% increase in the number of cases, with a total of 6,510 cases with a primary diagnosis of dka in 2006a rate of increase perhaps more rapid than the overall increase in the diagnosis of diabetes. Diabetic ketoacidosis dka and the hyperosmolar hyperglycemic state hhs are the two most serious acute metabolic complications of diabetes. Diabetic ketoacidosis dka pathophysiology, animation youtube. Pattern of presentation in type 1 diabetic patients at the diabetes.
Diabetes ppt is a free template about diabetes symptom that has small characters useful to explain about diabetes to patients or doctors, related to hyperglycemia symptoms. The 2020 standards of medical care in diabetes includes all of adas current clinical practice recommendations and is intended to provide clinicians, patients, researchers, payers, and others with the components of diabetes care, general treatment goals, and tools to evaluate the quality of care. Diabetes, hyperglycemia symptoms powerpoint, people with diabetes. Dec 04, 2018 diabetic ketoacidosis dka is a serious complication of type 1 diabetes and, much less commonly, of type 2 diabetes. Diabetic ketoacidosis it is a life threatening but reversible complication of type 1 diabetes due to absolute insulin deficiency. One of the most severe complications of diabetes, diabetic ketoacidosis dka, results from insulin deficiency and is a medical emergency that is frequently encountered in the emergency department. Diabetic dka free download as powerpoint presentation. Causes the most common scenarios for diabetic ketoacidosis are underlying or concomitant infection 40%.
Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from. Diabetes mellitus powerpoint template free is one of our wonderful collection of premium powerpoint templates, it is provided for free and regulated for personal or professional presentations the template is multipurpose, professional, clean, creative and simple. Diabetic ketoacidosis dka powerpoint slides myprivatetutor. Diabetic ketoacidosis dka diabetes uk, uk diabetes. Diabetic ketoacidosis dka, hyperglycaemic hyperosmolar state hhs and hypoglycaemia are serious complications of diabetes mellitus that require prompt recognition, diagnosis and treatment. Dka onset and recurrence can largely be prevented through patient education.
Nauseavomiting thirstpolyuria abdominal pain shortness of breath physical findings. Dka is responsible for more than 500,000 hospital days per year 1,2 at an estimated annual direct medical expense and indirect cost of 2. Diabetic ketoacidosis diabetes type i management summary. Referral to diabetes educator sc insulatard 16 u on actrapid 61j tds t.
Diabetic ketoacidosis ppt presentation free download. Oct 24, 2017 diabetic ketoacidosis, dka, is an acute and potentially lifethreatening complication of diabetes mellitus. A free powerpoint ppt presentation displayed as a flash slide show on id. This case highlights the dramatic cognitive decline of a young man due to metabolic encephalopathy complicating dka. Find powerpoint presentations and slides using the power of, find free presentations research about ketoacidosis nursing care ppt. Overlap the insulin drip with the sq insulin by 2 or more hours.
Diabetes insulin transition iv to subcutaneous adult supplemental 5254. Dka occurs predominantly in patients with type 1 insulindependent diabetes mellitus, but 10% to 30% of cases occur in newly diagnosed type 2 noninsulindependent diabetes mellitus, especially in african americans and hispanics. Dka is reported to be responsible for more than 100,000 hospital admissions per year in the united states1 and accounts for 49% of all hospital discharge summaries among patients with diabetes. Diabetic ketoacidosis and hyperosmolar hyperglycemic state in adults.
Find powerpoint presentations and slides using the power of, find free presentations research about dka ppt. Dka can also be seen in children with t1dm and infection, other intercurrent illness, or inadequate insulin administration. The adage a child is not a miniature adult is most appropriate when considering diabetic ketoacidosis dka. The criteria for hyperglycemic hyperosmolar state hhs include. Oct 28, 2015 diabetic ketoacidosis dka is a common, serious, and preventable complication of type 1 diabetes, with a mortality of 35%. Diabetes is a name given to the distinct conditions in which there is a large amount of glucose in the blood and it is the ability of the body to convert or change glucose i. Diabetic ketoacidosis dka is a potentially lifethreatening complication of diabetes mellitus. These are aimed at teaching kids about preventive procedures, so they can identify the cause and symptoms of diabetes through free ppt slides. Pdf management of diabetic ketoacidosis in pregnancy. Diabetic ketoacidosis dka is a lifethreatening complication affecting 3046% of children with newly diagnosed type 1 diabetes in the u. Free diabetes ppt slides help spread awareness regarding type ii diabetes.
The fundamental pathophysiology of this potentially lifethreatening complication is the same as in adults. Usually presents in young patients genetic, autoimmune, andor viral factors cause pancreatic beta islet cell destruction leading to insulin deficiency hyperglycemia occurs and can progress to ketoacidosis if insulin isnt given symptoms are polyuria, weight loss, fatigue. Introduction diabetic ketoacidosis dka is a potentially life threatening complication in people with diabetes mellitus. Dka is most commonly associated with type 1 diabetes, however, people with type 2 diabetes that produce very little of their own insulin may also be affected.
Diabetic ketoacidosis american academy of pediatrics. Also known as juvenile diabetes usually diagnosed in children and young adults when bodys own immune system destroys the insulin producing cells of the pancreas beta cells which produce insulin only 5% of people have this disease body does not produce. Diabetic ketoacidosis presentation of new onset diabetes about 30 of the time is a lifethreatening emergency the metabolic abnormalities must be corrected in. It occurs when theres major insulin production problems combined with increased glucose activity. Winner of the standing ovation award for best powerpoint templates from presentations magazine. Children with type 2 diabetes mellitus t2dm may also present in dka. Diabetes mellitus is a group of metabolic diseases characterized by high blood sugar levels, which result from defects in insulin secretion, action, or both. The most common clinical sign is diabetic ketoacidosis dka, which is observed in 67. Although mortality is currently diabetes, a chronic medical condition, continues to increase in prevalence. Dka without a preceding febrile illness or gastroenteritis in a patient with known diabetes is almost always the result of psychosocial problems and failure to appropriately administer insulin. Management of diabetic ketoacidosis presentation transcript. Guidelines for management of diabetic ketoacidosis. Metabolic encephalopathy secondary to diabetic ketoacidosis. Diabetes mellitus powerpoint template free professional.
Insulin helps move sugar out of the blood so it can be used for energy. Nursing care plan for diabetes mellitus ppt salemfreemedclinic. Diabetic ketoacidosis powerpoint presentation how to treat diabetic peripheral neuropathy when to use insulin with type 2 diabetes which is worse type1 and type 2 diabetes why blurred vision in diabetes whiskey and diabetes type 2 where to go to get tested for diabetes. Diabetic ketoacidosis dka is a state of uncontrolled diabetes and it is characterized by hyperglycemia, a high anion gap acidosis, and the presence of ketonemia and ketonuria ketone bodies in the blood and urine. The definition of dka according to american diabetes association is shown in the. Introduction hhs and dka are not mutually exclusive but rather two conditions that both result from some degree of insulin deficiency. Aug 01, 2019 123 overall, the most common cause of dka is newonset type 1 diabetes mellitus t1dm. Westerberg, do, cooper medical school of rowan university, camden, new jersey. Diabetes mellitus powerpoint template free is one of our wonderful collection of premium powerpoint templates, it is provided for free and regulated for personal or professional presentations. Well, glucose is an important source of energy which is required by our body because it acts as a fuel in our body. Diabetic ketoacidosis and hyperglycemic hyperosmolar state wolfsdorf ji, allgrove j, craig me, edge j, glaser n, jain v, lee wwr, mungai lnw, rosenbloom al, sperling ma, hanas r. Introduction diabetic ketoacidosis dka and hyperosmolar hyperglycemic state hhs, also known as hyperosmotic hyperglycemic nonketotic state hhnk are two of the most serious acute complications of diabetes. Your childs blood sugar levels become high because his or her body does not have enough insulin. Ppt diabetes ketoacidosis powerpoint presentation free to.
The 2009 american diabetes association ada position statement on hyperglycaemic emergencies in adult patients with diabetes details the management of diabetic ketoacidosis dka and hyperosmolar hyperglycaemia state. Can occur in both type i diabetes and type ii diabetes in type ii diabetics with insulin. Diabetic ketoacidosis dka is an emergency for people with diabetes characterized by hyperglycemia, metabolic acidosis, and ketosis. Disturbance of the mechanisms which maintain normal blood ph is a defining feature of diabetic ketoacidosis dka, an acute and lifethreatening complication of the chronic metabolic disease, diabetes. A persons breath may develop a specific fruity smell.
Ppt diabetes ketoacidosis powerpoint presentation free. Dka is frequently observed in diagnosis of type 1 diabetes and often. Dka amplifies with your bodys disability to produce the required amount of insulin, causing the build up of ketones. A consensus statement from the international society for pediatric and adolescent diabetes. Displaying powerpoint presentation on diabetes ketoacidosis available to view or download. Despite adequate knowledge and care of patients with diabetes, is dka a major cause for concern. Diabetic ketoacidosis biochemical triad of ketonaemia, hyperglycaemia and acidaemia. Mar 30, 2018 these hyperglycemic emergencies continue to be important causes of morbidity and mortality among patients with diabetes. Practice guidelines resources american diabetes association. Management of diabetic ketoacidosis in pregnancy dkp. Diabetic ketoacidosis diabetic ketoacidosis dka ketonuria. Derived from the greek a word that literally means passing through, or siphon. Evaluation of ward management of diabetic ketoacidosis. Scribd is the worlds largest social reading and publishing site.