Diagnostic and therapeutic approach of diabetic ketoacidosis in children and adolescents in the emergency department = Enfoque diagnóstico y terapéutico de la cetoacidosis diabética en niños y adolescentes en el servicio de urgencias
Diabetic ketoacidosis (DKA) is the most frequent complication in children with type 1 diabetes. DKA is due to a partial or complete insulin deficit, associated with an increase of counterregulatory hormones, which leads to the biochemical alterations that define the disease: hyperglycemia, metabolic...
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| Format: | Article |
| Language: | Spanish |
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Universidad de Antioquia
2013-07-01
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| Series: | Iatreia |
| Subjects: | |
| Online Access: | http://www.iatreia.udea.edu.co/index.php/iatreia/article/view/14285/13599 |
| _version_ | 1818191094426370048 |
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| author | Ana María Jiménez Fadul Juan Carlos Cortés Millán |
| author_facet | Ana María Jiménez Fadul Juan Carlos Cortés Millán |
| author_sort | Ana María Jiménez Fadul |
| collection | DOAJ |
| description | Diabetic ketoacidosis (DKA) is the most frequent complication in children with type 1 diabetes. DKA is due to a partial or complete insulin deficit, associated with an increase of counterregulatory hormones, which leads to the biochemical alterations that define the disease: hyperglycemia, metabolic acidosis and ketonemia. Most DKA related deaths are caused by complications associated with the initial treatment. To prevent complications, an adequate assessment in the emergency service is essential; gradual reposition of fluids, dextrose supplementation during hydration, and insulin therapy are necessary. This paper is a critical review of the physiopathology, clinical manifestations, treatment and main complications of DKA. |
| first_indexed | 2024-12-12T00:09:09Z |
| format | Article |
| id | doaj.art-31efe998e8634bc3826b21964172dc01 |
| institution | Directory Open Access Journal |
| issn | 0121-0793 2011-7965 |
| language | Spanish |
| last_indexed | 2024-12-12T00:09:09Z |
| publishDate | 2013-07-01 |
| publisher | Universidad de Antioquia |
| record_format | Article |
| series | Iatreia |
| spelling | doaj.art-31efe998e8634bc3826b21964172dc012022-12-22T00:45:02ZspaUniversidad de AntioquiaIatreia0121-07932011-79652013-07-01263325335Diagnostic and therapeutic approach of diabetic ketoacidosis in children and adolescents in the emergency department = Enfoque diagnóstico y terapéutico de la cetoacidosis diabética en niños y adolescentes en el servicio de urgenciasAna María Jiménez Fadul0Juan Carlos Cortés Millán1 Hospital Universitario San IgnaciPontificia Universidad JaverianaDiabetic ketoacidosis (DKA) is the most frequent complication in children with type 1 diabetes. DKA is due to a partial or complete insulin deficit, associated with an increase of counterregulatory hormones, which leads to the biochemical alterations that define the disease: hyperglycemia, metabolic acidosis and ketonemia. Most DKA related deaths are caused by complications associated with the initial treatment. To prevent complications, an adequate assessment in the emergency service is essential; gradual reposition of fluids, dextrose supplementation during hydration, and insulin therapy are necessary. This paper is a critical review of the physiopathology, clinical manifestations, treatment and main complications of DKA.http://www.iatreia.udea.edu.co/index.php/iatreia/article/view/14285/13599Cetoacidosis DiabéticaDiabetes Mellitus Tipo1Niños y AdolescentesChildren and Adolescents; Diabetic KetoacidosisType 1 Diabetes Mellitus |
| spellingShingle | Ana María Jiménez Fadul Juan Carlos Cortés Millán Diagnostic and therapeutic approach of diabetic ketoacidosis in children and adolescents in the emergency department = Enfoque diagnóstico y terapéutico de la cetoacidosis diabética en niños y adolescentes en el servicio de urgencias Iatreia Cetoacidosis Diabética Diabetes Mellitus Tipo1 Niños y Adolescentes Children and Adolescents; Diabetic Ketoacidosis Type 1 Diabetes Mellitus |
| title | Diagnostic and therapeutic approach of diabetic ketoacidosis in children and adolescents in the emergency department = Enfoque diagnóstico y terapéutico de la cetoacidosis diabética en niños y adolescentes en el servicio de urgencias |
| title_full | Diagnostic and therapeutic approach of diabetic ketoacidosis in children and adolescents in the emergency department = Enfoque diagnóstico y terapéutico de la cetoacidosis diabética en niños y adolescentes en el servicio de urgencias |
| title_fullStr | Diagnostic and therapeutic approach of diabetic ketoacidosis in children and adolescents in the emergency department = Enfoque diagnóstico y terapéutico de la cetoacidosis diabética en niños y adolescentes en el servicio de urgencias |
| title_full_unstemmed | Diagnostic and therapeutic approach of diabetic ketoacidosis in children and adolescents in the emergency department = Enfoque diagnóstico y terapéutico de la cetoacidosis diabética en niños y adolescentes en el servicio de urgencias |
| title_short | Diagnostic and therapeutic approach of diabetic ketoacidosis in children and adolescents in the emergency department = Enfoque diagnóstico y terapéutico de la cetoacidosis diabética en niños y adolescentes en el servicio de urgencias |
| title_sort | diagnostic and therapeutic approach of diabetic ketoacidosis in children and adolescents in the emergency department enfoque diagnostico y terapeutico de la cetoacidosis diabetica en ninos y adolescentes en el servicio de urgencias |
| topic | Cetoacidosis Diabética Diabetes Mellitus Tipo1 Niños y Adolescentes Children and Adolescents; Diabetic Ketoacidosis Type 1 Diabetes Mellitus |
| url | http://www.iatreia.udea.edu.co/index.php/iatreia/article/view/14285/13599 |
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