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MANAGEMENT OF SEVERE DIABETIC KETOACIDOSIS IN A YOUNG ADULT

VESNA VUCELIĆ ; Klinički bolnički centar Sestre milosrdnice, Interna klinika, Odjel za intenzivnu skrb, Zagreb, Hrvatska
ŽELJKO VUČIČEVIĆ ; Klinički bolnički centar Sestre milosrdnice, Interna klinika, Odjel za intenzivnu skrb, Zagreb, Hrvatska
VESNA DEGORICIJA ; Klinički bolnički centar Sestre milosrdnice, Interna klinika, Odjel za intenzivnu skrb, Zagreb, Hrvatska
GORANA MIROŠEVIĆ ; Klinički bolnički centar Sestre milosrdnice, Interna klinika,Odjel za endokrinologiju, Zagreb, Hrvatska
VESNA TRKEŠ ; Klinički bolnički centar Zagreb, Klinička bolnica za plućne bolesti Jordanovac, Zagreb, Hrvatska

Sažetak

We present a case of severe diabetic ketoacidosis in a 19-year-old male with a history of poor compliance to insulin therapy. At arrival to our Emergency Department, the patient was comatose with extreme hyperglycemia, severe diabetic ketoacidosis, lactic acidosis and dehydration. The treatment consisted of intensive fl uid replacement and correction of all metabolic disturbances until complete recovery. In the vast majority of severe diabetic ketoacidosis cases, relatively fast and successful treatment result can be expected if intensive therapy is applied and if ketoacidosis is not triggered by a serious illness. Some essential contemporary guidelines and the importance of individual treatment approach are pointed out in the article. The role of high serum procalcitonin value in diabetic ketoacidosis is discussed.

Ključne riječi

diabetic ketoacidosis; hyperosmolar state; hypovolemia; treatment of diabetic ketoacidosis

Hrčak ID:

224713

URI

https://hrcak.srce.hr/224713

Datum izdavanja:

6.9.2019.

Podaci na drugim jezicima: hrvatski

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