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Dynamics (Pembroke, Ont.) · Jan 2004
ReviewManaging diabetic ketoacidosis: the role of the ICU nurse in an endocrine emergency.
- Christina Hurlock-Chorostecki.
- ICU, St. Joseph's Health Care, London.
- Dynamics. 2004 Jan 1;15(1):18-22.
AbstractDiabetic ketoacidosis is an endocrine emergency that requires intensive management and monitoring. Eight per cent of diabetic-related admissions are for the management of diabetic ketoacidosis and, prior to the discovery of insulin, all of these patients died (Delaney, Zisman & Kettyle, 2000). In this article, the author reviews the pathophysiology of the classic presentation of diabetic ketoacidosis: hyperglycemia and ketoacidosis. The management of the acute situation is described in order to enable the critical care nurse to provide and advocate for best patient care practices.
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