WebJan 5, 2024 · Hyperosmolar hyperglycemic state (HHS) is 1 of 2 serious metabolic derangements that occurs in patients with diabetes mellitus (DM) and can be a life-threatening emergency. It is less common than the other acute complication of diabetes, diabetic ketoacidosis (DKA). WebIn diabetic ketoacidosis, shock is usually caused by: dehydration. ... You have a patient with an altered mental status that has developed over the past 2-3 days, according to family members. He is wearing a medical alert tag that is inscribed with the letters "DM." What is your initial field impression?
Diabetic ketoacidosis - Symptoms and causes - Mayo Clinic
WebJul 1, 2004 · Address correspondence and reprint requests to Andrew Muir, MD, 1120 15th St., BG-1020, Augusta, GA 30912. E-mail: [email protected]. OBJECTIVE —Children who develop cerebral edema (CE) during diabetic ketoacidosis (DKA) exhibit definable signs and symptoms of neurological collapse early enough to allow intervention to prevent … WebMay 18, 2010 · Diabetic ketoacidosis (DKA) is frequently associated with altered mental status, which is correlated with the severity of the disease and prognosis . However, the etiology of depressed sensorium in DKA … temperaturen mallorca september
A patient with altered mental status and an acid-base disturbance
WebAnd they most commonly complain of abdominal pain, nausea, and vomiting. In addition, they are severely dehydrated, and therefore their skin may appear cool and clammy. Then lastly, and most alarming, many individuals in diabetic ketoacidosis will have an altered mental status, meaning they may be confused or even unconscious. WebJan 5, 2024 · Consider a consultation with a neurologist for most patients with altered mental status. A neurologist should monitor the cases of any patients with underlying neurologic disease (eg, cerebrovascular accident or a history of seizures). ... Diabetic ketoacidosis and infection: leukocyte count and differential as early predictors of serious ... trek training wheels 16