A real case of Diabetic Ketoacidosis (DKA) & Management
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- Опубликовано: 22 сен 2021
- Diabetic Ketoacidosis or DKA is a medical emergency that I never take lightly. This real-life clinical case is about a young female with type I diabetes who presented to us with classical symptoms. We were able to treat her successfully with IV fluids and Insulin.
Topics Discussed in this animation are,
1) Symptoms of DKA
2) Diagnosis of DKA
3) Pathophysiology of Diabetic Ketoacidosis
4) Fluid therapy in Ketoacidosis
5) Insulin therapy in Ketoacidosis
6) Finding etiologies for DKA
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More Information (Cerebral Edema) - bit.ly/3i64XWX
Note: Kussmaul breathing is rapid and deep. the breathing pattern I have described is rapid and shallow; which tallies with typical hyperventilation seen in metabolic acidosis. As the acidosis worsens, breathing becomes rapid and deep (Kussmaul pattern)
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Note: Kussmaul breathing is rapid and deep. the breathing pattern I have described is rapid and shallow; which tallies with typical hyperventilation seen in metabolic acidosis. As the acidosis worsens, breathing becomes rapid and deep (Kussmaul pattern)
Thank you for this video! My dad recently had surgery and had to rush him by ambulance due to him going into DKA. He is a type 2 diabetic and man did this whole thing scare me. He is doing much better although still hospitalized and being monitored. Very glad for this video and what to look out for going forward with my dad.
As a final year medical student, I must say this is highly accurate medicine and excellently presented.
Thank you! appreciate it.
This exactly what I had but I had codvic as well . I spent 3 months in the hospital. I was unconscious for the first month . My kidneys stop working completely plus my lungs collapsed then my ph was super low. Also Insulin treatment wasn’t working for me ( nothing was lowering my blood sugar) . After all of that I spent 3 weeks in rehab learning how to walk and do basic things . People please check your sugar
Thank God you are safe now
Jesus! I'm glad you pulled through
I have gone through dka as a type one diabetic, it's scary and I still have nightmares and scares from it, I nearly died
Glad you survived! Was it your first presentation? Or already a diagnosed patient?
How did you cured it..please help me by replying to this..
@@keerthanar9751 you can't cure diabetes, you can fix your dka scares and episodes, if it's serious please go to the hospital
@@TinyMedicine I had already been diagnosed
I’ve gone into DKA 9 times I’m tired
This so visually appealing and at the same time the perfect explanations!!!!!!!
this was so simple n easy to comprehend the illustrations r well presented too thank youuuu
Thanks alot .. you made it sooo simple
Thanks!!! I learn a lot here!!!! I hope i can watch more video about different diseases later! It really help me a lot!! Love your videos!!!! Support!!!!!!!!!!
good, simple to understand video. thank you
Great explanation👏
I just came out of DKA and I m so weak I don’t know how to feel better
Amazing explanation ❤️
Thank you ❤❤
I really likes your animation can you tell me what program are you using
Thank you for your excelent video! Can you detail maybe when to initiate the supplementation of potassium? In the second hour of treatment maybe? Thanks!
Informative as always :D
Glad to hear!
Yes, DKA can cause death. The best way to avoid DKA - one way - if you have Type 1 diabetes, is to try to avoid being sick. Being sick is a risk factor for it. But if you do end up sick (like, getting an UTI), you need to get hydrated, and you may have to take more insulin as normal, up to the 200 mg/dl limit. Maybe more insulin than normal. But be careful - ease off insulin intervention in DKA too fast, and this means cerebral edema, which, like DKA in itself, could kill too. If you ease off, 5 percent dextrose is the key.
Great explanation
Glad it was helpful!
Good info
Glad it was helpful!
I am not diabetic but last time I got a urine test done, they told me my ketone levels were slightly high. At least I think that is what it was although I could be wrong unless there is something else commonly looked for that starts with a k. Honestly, I feel like with urine tests I screw them up and contaminate the cup and I never know if mid stream is mid stream enough. I don't have any of these symptoms though. I drink a lot of water yes, but that's to avoid constant snacking.
Were you drunk (alcohol) before the test? Ketones can be produced and found in the urine in many conditions such as Diabetes, Extreme Fasting, or heavy alcohol consumption.
why does it can cause cerebral edema? cant find the info related to it, quite interesing! thanks a lot!
Hi
1) Glucose is Highly osmatic.
2) When the blood glucose falls rapidly, so does the osmolality of blood.
3) Then fluid shifts from Plasma to Intra-cellular space.
4) Cellular edema occurs in brain (skull is non-expandable)
You can read the full explanation on by blog, through the link in the description. Thanks.
@@TinyMedicine9
Interesting
why did the urinary tract infection cause DKA ?
Infections can cause prolonged high blood sugar that can't be easily brought down with insulin. Prolonged high blood sugar causes DKA.
How do people get into DKA ? Is beacuse they dont know that they have diabetes,please someone explain it ...
Sometimes. In fact, that's how people with diabetes died back in the days before insulin. More commonly, though, it's due to something like an infection making the blood sugar hard to control, or people not taking the full amount of insulin they need for whatever reason - cost, an inability to accept that they need to take it, or sometimes even something called diabulemia, where a type one diabetic takes too little insulin on purpose to lose weight and ends up overdoing it.
❤
God bless now and always Dr Igudia. And I really wanted to say a very big thanks for helping me cure my type 2 diabetes I thought it was the end until I meant you keep saving lives doctor
How to cure this?
You can't cure the diabetes but you can cure the DKA with IV insulin and other fluids.
Aren’t Kussmaul Respirations by definition rapid and deep? In this video you state they are rapid and shallow.
Thanks for pointing it out. You are correct: Kussmaul breathing is rapid and deep. Sorry for the mistake. I'll add a note to the description.
@@TinyMedicine Perfect! I really enjoyed the video otherwise. Really easy to listen to and did a good job making medicine topics accessible. Keep it up Doc!
Wait man how does a urinary tract infection cause dka?!
urinary tract infection --> Cortisol/Epinephrine ---> less insulin, more Glucagon and glucagon like activity ---> DKA
@@TinyMedicine Thanks for that detailed explanation - I've been a type one for a long time now and I have always known about and had trouble with infections causing high blood sugar and occasionally DKA, but I never really thought about why.
7.1 acidosis checckkkk yooo
My boyfriend is in high blood sugar coma for 12 days already he also got flu 😭😭😭 he is under ventilation 😭😭😭 I'm devastated and scared that he will die 😭😭😭😭😭😭 I even don't know too much about his state, he is in Iranian hospital far away from me 😭😭😭
I'm so sorry :(( I hope he'll be okay. sending love 💝
- a fellow Iranian
@@ih1708 My sunshine passed away at Thursday 😭😭😭 I'm in the big pain 😭😭😭
@@miya_kim_h. Oh, I'm so so sorry :(( Please take care of yourself. Sending all the love I can find, and please remember, this too shall pass 🙏🤍🫶
@@miya_kim_h.I'm so very sorry 😢
@@miya_kim_h. Im so sorry....
Wait. So she didn't immideatly think it was her type 1 diabetes that caused being that ill? What exactly does american healthcare teach you about diabetes when you get diagnosed?!?
And she got calium through an IV? Lucky. I had to drink it in small shots every day... 🤮
I kind of wondered that myself, why the very first thing her mother said wasn't that she's type one. I don't think it has anything to do with the American health care system though. It might have been her first DKA - people can explain it to you all day long and it will improve your odds of knowing what it is, but until you've either been through it or seen somebody go through it, you won't necessarily really know. I personally was diagnosed at 10 years old but hadn't yet gone into DKA when that happened, so a few months later when it finally did (as the result of an infection) my family and I really had no clue, we just went to the ER. Only then did we learn a lot of important things, and we got to know about the fruity breath smell. I swear my mom could smell that on me even before I realized myself something was seriously wrong.
Because the brain need to sugar