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

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Is child in ketoacidosis

• Drowsy/confused

• Dehydrated

• Poorly

• Vomiting

• Blood sugar very high

• Urine ketones +++

• Blood ketones >3mmol/l

What happens when you refer a patient to Audiology?

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Is child in ketoacidosis • Drowsy/confused • Dehydrated • Poorly • Vomiting • Blood sugar very high • Urine ketones +++ • Blood ketones >3mmol/l

Plan for DKA • Urgent hospital transfer by ambulance to A&E • Speak to Paediatric Registrar Don’t • Give insulin • Give fluid bolus unless moribund • Delay

Page 1 and 2: Prompt diagnosis of diabetes
Page 3 and 4: Less common presenting features •
Page 5: What to do
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 and 18: Definition of ketoacidosis • Gluc
Page 19 and 20: Confirm the Diagnosis : History : p
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

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

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