Diabetic ketoacidosis in end stage renal failure patient on maintenance dialysis – key challenges in management
Diabetic ketoacidosis (DKA) is a medical emergency which requires prompt management to prevent mortality. Treatment is complicated in end stage renal failure (ESRF) patients due to their altered physiology in sugar metabolism and fluid haemodynamics. To date, there are only a few case reports illust...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
2020
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| Online Access: | http://psasir.upm.edu.my/id/eprint/76949/1/2020011612322353_MJMHS_0009.pdf |
| _version_ | 1825950758358482944 |
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| author | Lim, Xue Meng Lim, Christopher Thiam Seong |
| author_facet | Lim, Xue Meng Lim, Christopher Thiam Seong |
| author_sort | Lim, Xue Meng |
| collection | UPM |
| description | Diabetic ketoacidosis (DKA) is a medical emergency which requires prompt management to prevent mortality. Treatment is complicated in end stage renal failure (ESRF) patients due to their altered physiology in sugar metabolism and fluid haemodynamics. To date, there are only a few case reports illustrating the presentation and management of DKA in ESRF patients and a definite guideline on treatment of DKA in ESRF is seriously lacking. We report here a case of an ESRF patient on maintenance haemodialysis, who develops DKA due to missed insulin, and outline our successful treatment plan. We hope our reported case report research can further contribute to the knowledge of DKA management in ESRF. |
| first_indexed | 2024-03-06T10:19:31Z |
| format | Article |
| id | upm.eprints-76949 |
| institution | Universiti Putra Malaysia |
| language | English |
| last_indexed | 2024-03-06T10:19:31Z |
| publishDate | 2020 |
| publisher | Faculty of Medicine and Health Sciences, Universiti Putra Malaysia |
| record_format | dspace |
| spelling | upm.eprints-769492020-03-03T09:39:31Z http://psasir.upm.edu.my/id/eprint/76949/ Diabetic ketoacidosis in end stage renal failure patient on maintenance dialysis – key challenges in management Lim, Xue Meng Lim, Christopher Thiam Seong Diabetic ketoacidosis (DKA) is a medical emergency which requires prompt management to prevent mortality. Treatment is complicated in end stage renal failure (ESRF) patients due to their altered physiology in sugar metabolism and fluid haemodynamics. To date, there are only a few case reports illustrating the presentation and management of DKA in ESRF patients and a definite guideline on treatment of DKA in ESRF is seriously lacking. We report here a case of an ESRF patient on maintenance haemodialysis, who develops DKA due to missed insulin, and outline our successful treatment plan. We hope our reported case report research can further contribute to the knowledge of DKA management in ESRF. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/76949/1/2020011612322353_MJMHS_0009.pdf Lim, Xue Meng and Lim, Christopher Thiam Seong (2020) Diabetic ketoacidosis in end stage renal failure patient on maintenance dialysis – key challenges in management. Malaysian Journal of Medicine and Health Sciences, 16 (1). pp. 345-347. ISSN 1675-8544; ESSN: 2636-9346 https://medic.upm.edu.my/upload/dokumen/2020011612322353_MJMHS_0009.pdf |
| spellingShingle | Lim, Xue Meng Lim, Christopher Thiam Seong Diabetic ketoacidosis in end stage renal failure patient on maintenance dialysis – key challenges in management |
| title | Diabetic ketoacidosis in end stage renal failure patient on maintenance dialysis – key challenges in management |
| title_full | Diabetic ketoacidosis in end stage renal failure patient on maintenance dialysis – key challenges in management |
| title_fullStr | Diabetic ketoacidosis in end stage renal failure patient on maintenance dialysis – key challenges in management |
| title_full_unstemmed | Diabetic ketoacidosis in end stage renal failure patient on maintenance dialysis – key challenges in management |
| title_short | Diabetic ketoacidosis in end stage renal failure patient on maintenance dialysis – key challenges in management |
| title_sort | diabetic ketoacidosis in end stage renal failure patient on maintenance dialysis key challenges in management |
| url | http://psasir.upm.edu.my/id/eprint/76949/1/2020011612322353_MJMHS_0009.pdf |
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