Diabetes GP TALK June 2011 - Dr Nick Mann.pdf - Oxfordlearning ...

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Deaths in DKA

• Failure of diagnosis

• Hypokalaemia- inadequate or no

K+ replacement

• Cerebral oedema- see below

• Aspiration

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Deaths in DKA • Failure of diagnosis • Hypokalaemia- inadequate or no K+ replacement • Cerebral oedema- see below • Aspiration

Confirm the Diagnosis : History : polydipsia, polyuria Clinical : acidotic respiration dehydration drowsiness abdominal pain/vomiting Biochemical : high blood glucose on finger-prick test glucose and ketones in urine/blood

Page 1 and 2: Prompt diagnosis of diabetes
Page 3 and 4: Less common presenting features •
Page 5 and 6: What to do
Page 7 and 8: Plan for DKA • Urgent hospital tr
Page 9 and 10: Well child- models of care • Admi
Page 11 and 12: Acanthosis Nigricans
Page 13 and 14: Outcome of young Type 2 diabetes
Page 15 and 16: Risk Factors • Poor compliance
Page 17: Definition of ketoacidosis • Gluc
Page 21 and 22: DKA How Common • 12 new children
Page 23 and 24: Management •Fluid management •I
Page 25 and 26: Fingerprick ketone testing

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