Naslov
Management of severe diabetic ketoacidosis in a young adult

Autori
Vucelić, Vesna ; Vučičević, Željko ; Degoricija, Vesna ; Mirošević, Gorana ; Trkeš, Vesna

Izvornik
Acta medica Croatica (1330-0164) 73 (2019); 215-218

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, prikaz, znanstveni

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

Sažetak
We present a case of severe diabetic ketoacidosis in a 19-year-old male with a history of poor compliance to insulin therapy. Ar arrival to our Emergency Department, the patient was comatose with extreme hyperglycemia, severe diabetic ketoacidosis, lactic acidosis, and dehydration. The treatment consisted of intensive fluid replacement and correction of all metabolic disturbances until complete recovery. In the vast majority of severe diabetic kaetoacidosis 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.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA