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Crisis Hiperglucémic
as
Jorge Antonio Mirón Velázquez
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Cetoacidosis diabética
(DKA)
Diabtes Mellitus tipo 1
y 2
Estado hiperglucemico hiperosmolar
(HHS)
Kitabchi A et al . Hyperglucemic crises in adult pataients, a consesus statement from ADA. Diab care. 2006
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Factores precipitantes
Kitabchi A et al . Hyperglucemic crises in adult pataients, a consesus statement from ADA. Diab care. 2006
Principales
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Patogenia
Kitabchi A et al . Hyperglucemic crises in adult pataients, a consesus statement from ADA. Diab care. 2006
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Diagnóstico Tipo de DM Evolución
Historia y examen físico
HHS- Días-semanas
DKA
Kitabchi A et al . Hyperglucemic crises in adult pataients, a consesus statement from ADA. Diab care. 2006
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DKA
Poliuria
Polidipsia
Pérdida de peso
Kitabchi A et al . Hyperglucemic crises in adult pataients, a consesus statement from ADA. Diab care. 2006
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DKA
Kitabchi A et al . Hyperglucemic crises in adult pataients, a consesus statement from ADA. Diab care. 2006
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HHS
Kitabchi A et al . Hyperglucemic crises in adult pataients, a consesus statement from ADA. Diab care. 2006
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Diag
nóst
ico
GlucosaHbA1c
BUN
Creatinina
Cetonas séricas
Electrolitos
séricos
Uroanálisis
Gasometría
arterial (ABG)
Citometría
hemática
Kitabchi A et al . Hyperglucemic crises in adult pataients, a consesus statement from ADA. Diab care. 2006
Laboratorio
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Mediciones adicionales
Brecha anicónicaNa – (Cl+HCO3)
Osmolaridad efectiva2Na + glucosa/18
Déficit de aguaWBT (Na deseado-Na real)/Na deseado
Déficit de bicarbonato(HCO3deseado + HCO3 medido )4*Peso
Kitabchi A et al . Hyperglucemic crises in adult pataients, a consesus statement from ADA. Diab care. 2006
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Kitabchi A et al . Hyperglucemic crises in adult pataients, a consesus statement from ADA. Diab care. 2006
Criterios Dx
Triada bioquímica DKAAcidosis metabólica, hiperglucemia y cetoemia
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Hidratación
Hiperglucemia
Balance eleccrolítico
Terapéutica
Kitabchi A et al . Hyperglucemic crises in adult pataients, a consesus statement from ADA. Diab care. 2006
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Bibliografía
Kitabchi A. , Murphy M. Umpierrez G., Kreisberg R. Hyperglucemic crises in adult pataients, a consesus statement from ADA. Diab care. Vol 29; N°12. 2006