Management of a Patient Presenting with Diabetic Ketoacidosis

Duration: 1:07:30

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2 Comments

lost2woods@*.com

Mar 01 2024, 10:33 pm

I greatly enjoyed this presentation and especially Dr. Been's manner of teaching by frequently quizzing his students to cause them to think about what he is teaching and how the students as medical practitioners would analyze the patient's data and apply the total information to properly treat the patient without causing harm to the patient. I'm not a medical practitioner, just an retired chemical engineer. His students and those who are subscribers are fortunate to have such an excellent teacher.

pratap.rajgor1@*.com

Dec 07 2020, 8:23 pm

If pt is severely dehydrated but pt is k/c/o LV dysfunction

lvef is 25%

in this scenario how we deal with fluid..??

This lecture presents the management approach for the patients presenting with diabetic Ketoacidosis.
Following management methods and the principles behind the management are explained:
Volume replenishment, volume types, the reason for choosing various types, benefits of the volume replenishment, and the complications of aggressive volume replenishment.
Insulin administration. Caution for insulin administration when potassium levels are low. The amount of insulin to administer and the rate of fall of glucose levels.
Why do insulin and glucose need to continue even after a good glucose level has been established?
What to expect in terms of potassium levels? How to manage potassium? How to correlated potassium levels to insulin and volume?
What labs and signs and symptoms to monitor and how to adjust when ref-flags show up?
How to approach bicarb deficiency?

In this video we will explain:

1. Volume replenishment,benefits of volume replenishment and complications of aggressive volume replenishment.

2. Insulin administration protocols and rate of fall of glucose levels.

3. Management of potassium levels and correlation with insulin and volume.

4. Continuation of insulin after desired blood glucose levels.

5. Labs and signs and symptoms to monitor.

6. Management of bicarbonate deficiency.

Presented by Dr. Mobeen Syed

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Faculty

In addition to the presenter, following authors may have helped with the content writing, review, or approval:

Dr. Mobeen Syed

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The DrBeen Corp designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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