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1 Απρ 2011 · This article reviews the most common and immediately life-threatening diabetes-related conditions seen in hospital emergency departments: diabetic ketoacidosis, hyperglycemic hyperosmolar state, and hypoglycemia. It also addresses the evaluation of patients with hyperglycemia and no previous diagnosis of diabetes.
We recommend the use of oral glucose (swallowed) for individuals with suspected hypoglycaemia who are conscious and able to swallow.1 [strong recommendation, very low certainty of evidence]
21 Φεβ 2014 · Treatment involves decreasing intracranial pressure by shifting fluid back out of the central nervous sytem. Therapy should not be delayed to obtain imaging. Initial treatment includes reducing IV fluids and elevating the head of the bed.
The objectives of this position statement are to: Raise clinical awareness of hyperglycaemic emergencies by identifying clinically important patient presentations and risk factors. Ensure management of hyperglycaemic emergencies is optimised to prevent serious adverse outcomes.
Objectives of management include restoration of normal ECFV and tissue perfusion; resolution of ketoacidosis; correction of electrolyte imbalances and hyperglycemia; and the diagnosis and treatment of coexistent illness.
2 Σεπ 2022 · The diagnosis should be considered in patients with an elevation in random blood glucose > 140 mg/dL (7.8 mmol/L). Treatment may begin in the ED and varies depending on the presenting severity of hyperglycemia. Treatment options include metformin, long-acting insulin, or deferring for close outpatient management.
Common signs and symptoms of DKA include dehydration due to polydipsia and polyuria, weight loss, excessive tiredness, nausea, vomiting, abdominal pain, Kussmaul respiration (rapid and deep respiration) with acetone breath, and reduced consciousness.