Practice guidelines resources american diabetes association. Signs and symptoms may include vomiting, abdominal pain, deep gasping breathing, increased urination, weakness, confusion and occasionally loss of consciousness. The rate of progression is dependent on the age at first detection of antibody, number of antibodies, antibody specificity, and antibody titer. The adage a child is not a miniature adult is most appropriate when considering diabetic ketoacidosis dka. Argy resident february, 2007 diabetic ketoacidosis dka a state of absolute or relative insulin deficiency aggravated. Diabetic ketoacidosis dka is an emergency for people with diabetes characterized by hyperglycemia, metabolic acidosis, and ketosis.
Despite adequate knowledge and care of patients with diabetes, is dka a major cause for concern. For this reason diagnosis and monitoring of dka invariably include measurement of arterial blood gases. Diabetes type 1, with dka clinical pathway emergency. 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 dka is a potentially lifethreatening manifestation of type 1 diabetes, the incidence of which has increased from 3. 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. Diabetic dka free download as powerpoint presentation. Causes the most common scenarios for diabetic ketoacidosis are underlying or concomitant infection 40%. 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.
Diabetic ketoacidosis dka is a potentially lifethreatening complication of diabetes mellitus. Hyperglycemic crises in adult patients with diabetes. Diabetic ketoacidosis an overview sciencedirect topics. A free powerpoint ppt presentation displayed as a flash slide show on id. Table 1 outlines the diagnostic criteria for dka and hhs. It is the intensified form of type 1 diabetes and is rarely found in type 2 diabetes. 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.
Aug 01, 2019 123 overall, the most common cause of dka is newonset type 1 diabetes mellitus t1dm. Free download diabetes mellitus powerpoint presentation slides. Diabetic mellitus diabetes mellitus, known widely as diabetes, is a chronic disease, identified by high blood sugar levels over a perpetual time period. Diabetic ketoacidosis diabetes type i management summary. 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 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. Although mortality is currently diabetes, a chronic medical condition, continues to increase in prevalence. 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. Diabetic ketoacidosis in children what you need to know. Diabetic ketoacidosis dka is a lifethreatening condition caused by dangerously high blood sugar levels. Recent epidemiological studies indicate that hospitalizations for dka in the u. As the lack of insulin restricts the 3 utilisation of glucose for energy, the body breaks down fat as the alternative form of energy.
Diabetic ketoacidosis dka is a lifethreatening complication affecting 3046% of children with newly diagnosed type 1 diabetes in the u. When blood sugar levels are too high and insulin levels are too low. 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 dka powerpoint slides myprivatetutor. Management of diabetic ketoacidosis ppt download slideplayer. Hello, are you looking for article nursing care plan for diabetes mellitus ppt salemfreemedclinic.
Ppt diabetes ketoacidosis powerpoint presentation free. 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. Diabetic ketoacidosis and hyperosmolar hyperglycemic state in adults. This section focuses on the medical management of type 2 diabetes. While it can occur in all types of diabetes mellitus, it is seen most often in patients with type 1 diabetes. Ppt diabetic ketoacidosis powerpoint presentation free.
Diabetes mellitus is a group of metabolic diseases characterized by high blood sugar levels, which result from defects in insulin secretion, action, or both. View and download powerpoint presentations on ketoacidosis nursing care ppt. In most cases, if the first presentation of diabetes is with dka, it is likely that. Diabetes, hyperglycemia symptoms powerpoint, people with diabetes. Although it can occur in patients with type 2 diabetes during periods of severe stress, dka primarily occurs in patients with.
Diabetic ketoacidosis american academy of pediatrics. Diabetic ketoacidosis dka and the hyperosmolar hyperglycemic state hhs are the two most serious acute metabolic complications of diabetes. Diabetic ketoacidosis dka is a lifethreatening complication of diabetes mellitus. Free diabetes ppt slides help spread awareness regarding type ii diabetes. Discontinuation of insulin, whether unintentional or deliberate.
Specific concise statements that act as markers of high. Dka onset and recurrence can largely be prevented through patient education. 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. Diabetic ketoacidosis dka diabetes uk, uk diabetes. Dka is the most serious presenting symptom of type 1. Dka, or diabetic ketoacidosis is associate with type 1 diabetes so its insulin dependent diabetes. Seheult of this is video 1 of 2 on diabetic ketoacidosis. These are aimed at teaching kids about preventive procedures, so they can identify the cause and symptoms of diabetes through free ppt slides. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from.
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. 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. Ppt diabetic ketoacidosis dka powerpoint presentation, free. Dec 04, 2018 diabetic ketoacidosis dka is a serious complication of type 1 diabetes and, much less commonly, of type 2 diabetes. 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. Diabetic ketoacidosis dka and hyperglycemic hyperosmolar state hhs are the most serious and lifethreatening hyperglycemic emergencies in patients with diabetes. Diabetic ketoacidosis dka is an acute, lifethreatening complication of diabetes mellitus. Your childs blood sugar levels become high because his or her body does not have enough insulin. 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. Diabetes mellitus powerpoint template free professional. Diabetic ketoacidosis is a serious complication of type 1 diabetes, though its sometimes seen in people with type 2 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. 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.
Dka happens when your blood sugar is very high and acidic substances called. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. Diabetic ketoacidosis at diagnosis of type 1 diabetes. Diabetic ketoacidosis presentation of new onset diabetes about 30 of the time is a lifethreatening emergency the metabolic abnormalities must be corrected in. Dka is commonly associated with type 1 but type 2 diabetics are also susceptible. Mar 31, 2017 guidelines and position statements from medical organisations are widely used by clinicians to guide the care of their patients. Indications like uncontrolled urination, increased appetite, and excessive thirst, mark as symptoms of diabetes. Diabetes complication and pathophysiology of the complication duration.
Well, glucose is an important source of energy which is required by our body because it acts as a fuel in our body. Displaying powerpoint presentation on diabetes ketoacidosis available to view or download. Diabetic ketoacidosis dka pathophysiology, animation youtube. Referral to diabetes educator sc insulatard 16 u on actrapid 61j tds t. 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. Diabetic ketoacidosis dka is a dangerous complication faced by people with diabetes which happens when the body starts running out of insulin. Prompt diagnosis, assessment of key laboratory values, appropriate.
Diabetic ketoacidosis tintinallis emergency medicine. A persons breath may develop a specific fruity smell. Type 1 type 2 gestational diabetes prediabetes type 1 diabetes. This case highlights the dramatic cognitive decline of a young man due to metabolic encephalopathy complicating dka. Dka is defined by a lack of insulin or an excess of hyperglycemic hormones leading to an inability by the tissues to use glucose. 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. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that todays audiences expect.
Glucose and a1c levels rise well before the clinical onset of diabetes, making diagnosis feasible well before the onset of dka. Understand diabetic ketoacidosis dka with this clear explanation from dr. 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. The criteria for hyperglycemic hyperosmolar state hhs include. Introduction hhs and dka are not mutually exclusive but rather two conditions that both result from some degree of insulin deficiency. Although it can occur in patients with type 2 diabetes during periods of severe. Diabetic ketoacidosis and hyperglycemic hyperosmolar state. The most common clinical sign is diabetic ketoacidosis dka, which is observed in 67. Nauseavomiting thirstpolyuria abdominal pain shortness of breath physical findings. Derived from the greek a word that literally means passing through, or siphon. Updates in the management of diabetic ketoacidosis the. 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. Guidelines for management of diabetic ketoacidosis. Pattern of presentation in type 1 diabetic patients at the diabetes.
A variety of factors may contribute to deliberate insulin. Winner of the standing ovation award for best powerpoint templates from presentations magazine. 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. Metabolic encephalopathy secondary to diabetic ketoacidosis. Diabetic ketoacidosis dka management algorithm adult. 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. This article outlines updates in the clinical management of. Diabetic ketoacidosis ppt presentation free download. 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. Diabetic ketoacidosis dka is the hallmark of absolute insulin deficiency. The template is created suitable for all areas of business and marketing. Diabetic ketoacidosis biochemical triad of ketonaemia, hyperglycaemia and acidaemia. 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.
Download diabetes hypoglycemia and other similar templates with a simple design, and run them using microsoft powerpoint. Oct 28, 2015 diabetic ketoacidosis dka is a common, serious, and preventable complication of type 1 diabetes, with a mortality of 35%. 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. 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. Overlap the insulin drip with the sq insulin by 2 or more hours. In new onset diabetes, dka is frequently the consequence of a delay in diagnosis e. 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.
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. Find powerpoint presentations and slides using the power of, find free presentations research about ketoacidosis nursing care ppt. Nursing care plan for diabetes mellitus ppt salemfreemedclinic. 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. 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. A consensus statement from the international society for pediatric and adolescent diabetes. Sep 11, 2017 diabetic ketoacidosis diabetes type i management summary armando hasudungan. However, the child differs from the adult in a number of characteristics. Pdf management of diabetic ketoacidosis in pregnancy. Westerberg, do, cooper medical school of rowan university, camden, new jersey. View and download powerpoint presentations on dka ppt. 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.
Although dka and hhs are often discussed as separate entities, they represent points along a spectrum of hyperglycemic emergencies due to poorly controlled diabetes. Children with type 2 diabetes mellitus t2dm may also present in dka. Oct 24, 2017 diabetic ketoacidosis, dka, is an acute and potentially lifethreatening complication of diabetes mellitus. It occurs when theres major insulin production problems combined with increased glucose activity. It happens predominantly in those with type 1 diabetes, but it can occur in those with type 2 diabetes under certain circumstances. Diabetic ketoacidosis dka in patients with type 1 diabetes is a medical emergency that may present with neurologic signs and symptoms. Diabetes type 1, with dka clinical pathway emergency children s hospital of philadelphia. Metabolic encephalopathy is a rare but potentially devastating complication of diabetic ketoacidosis dka. Find powerpoint presentations and slides using the power of, find free presentations research about dka ppt. Nurse practitioners are well positioned to promote patient education, selfmanagement, and individualized patient care. Diagnostic criteria blood glucose 250 mgdl ph 12 ketonemia. 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. Management of diabetic ketoacidosis in pregnancy dkp.
Diabetic ketoacidosis dka explained clearly diabetes. The definition of dka according to american diabetes association is shown in the. Diabetic ketoacidosis dka powerpoint ppt presentation. Management of diabetic ketoacidosis presentation transcript. High anion gap metabolic acidosis due to excessive blood concentration of ketone bodies ketoanion.
Diabetic ketoacidosis dka, a lifethreatening complication of diabetes mellitus dm, occurs more commonly in children with type 1 dm than type 2 dm. Diabetic ketoacidosis dka, hyperglycaemic hyperosmolar state hhs and hypoglycaemia are serious complications of diabetes mellitus that require prompt recognition, diagnosis and treatment. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that. Evaluation of ward management of diabetic ketoacidosis. 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. Scribd is the worlds largest social reading and publishing site. Insulin has several actions, depending on the concentration present in the circulation. Diabetes mellites diabetes mellitus is a group of metabolic disease results from the production of insufficient amount of insulin by the pancreas.
Pdf diabetic ketoacidosis in children researchgate. Diabetic ketoacidosis it is a life threatening but reversible complication of type 1 diabetes due to absolute insulin deficiency. Can occur in both type i diabetes and type ii diabetes in type ii diabetics with insulin. Mar 30, 2018 these hyperglycemic emergencies continue to be important causes of morbidity and mortality among patients with diabetes. Insulin helps move sugar out of the blood so it can be used for energy. Dka amplifies with your bodys disability to produce the required amount of insulin, causing the build up of ketones. Powerpoint slide on diabetic ketoacidosis dka compiled by alairic reuben. It can also occur in patients with other types of diabetes. The fundamental pathophysiology of this potentially lifethreatening complication is the same as in adults. Ppt diabetes ketoacidosis powerpoint presentation free to. 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. Dka can also be seen in children with t1dm and infection, other intercurrent illness, or inadequate insulin administration. Dka is frequently observed in diagnosis of type 1 diabetes and often indicates this diagnosis 3%. Diabetes insulin transition iv to subcutaneous adult supplemental 5254.
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. Dka is frequently observed in diagnosis of type 1 diabetes and often. It occurs predominantly in people with type 1 diabetes, although it is occasionally seen in type 2 diabetes or gestational diabetes as well. Diabetic ketoacidosis diabetic ketoacidosis dka ketonuria. Ppt diabetic ketoacidosis powerpoint presentation free to.