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Diabetic Ketoacidosis
Alternate Names : DKA
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What are the treatments for the condition?
Treatment is directed at the DKA and any underlying conditions. For example,
antibiotics or surgery may be needed for an
infection. Fluids and insulin are generally given through an intravenous line, or IV. An IV is a
thin tube that is placed into a person's vein, usually in the arm. Salt
replacement is also commonly needed and is supplied through the IV. People
often need care in
an intensive care unit
with frequent monitoring. Treatment may last several hours or several days.
What are the side effects of the treatments?
Getting too much fluid or the wrong kind of fluid can cause swelling of the
brain, known as cerebral edema. A low blood glucose level is rarely a problem,
but may
occur if too much insulin is given. Antibiotics may cause allergic reactions, stomach upset,
and
other side effects.
What happens after treatment for the condition?
People who have diabetes need lifelong treatment. After an episode of DKA, the
individual may need further instruction about diabetes. Education
includes information on
diet,
exercise, insulin dosage, and blood glucose monitoring. A person's insulin dose may
need to
be changed in some cases.
How is the condition monitored?
The individual may have frequent visits with the healthcare
provider until the diabetes is well controlled. Any new or worsening symptoms
should be reported to the provider.
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Author: Thomas Fisher, MD Reviewer: Eileen McLaughlin, RN, BSN Date Reviewed: 09/11/01
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