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Feature Articles

Diabetes in the Emergency Department: Acute Care of Diabetes Patients

  1. Candace D. McNaughton, MD,
  2. Wesley H. Self, MD and
  3. Corey Slovis, MD
Clinical Diabetes 2011 Apr; 29(2): 51-59. https://doi.org/10.2337/diaclin.29.2.51
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    Figure 1.

    Initial evaluation and treatment of DKA in the emergency department. *Laboratory studies: complete blood count, basic metabolic panel, venous blood gas, urinalysis, urine pregnancy test if female and childbearing age. If critically ill or clinically indicated: complete metabolic panel, serum osmolality, phosphate, lactate, cardiac markers, urine drug screen, blood alcohol level, chest X-ray, or other imaging studies. Calculate effective serum osmolality and corrected serum sodium. Signs of critical illness include 1) altered mental status: 2) signs of hypoperfusion; 3) significant derangement in heart rate, blood pressure, respiratory rate, temperature, or oxygen saturation; or 4) signs of severe acidosis such as marked Kussmaul respirations. BMP, basic metabolic panel; BP, blood pressure; ECG, electrocardiogram; HR, heart rate; hyperK, hyperkalemia; IVF, IV fluids; IVP, IV push; NS, normal saline; O2, oxygen; O2 sat, oxygen saturation; pt, patient; RR, respiratory rate; SC, subcutaneous; temp, temperature; VBG, venous blood glucose.

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    Figure 2.

    Treatment of hypoglycemia.BG, blood glucose, IM, intramuscular; SC, subcutaneous.

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Clinical Diabetes: 29 (2)

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April 2011, 29(2)
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Diabetes in the Emergency Department: Acute Care of Diabetes Patients
Candace D. McNaughton, Wesley H. Self, Corey Slovis
Clinical Diabetes Apr 2011, 29 (2) 51-59; DOI: 10.2337/diaclin.29.2.51

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Diabetes in the Emergency Department: Acute Care of Diabetes Patients
Candace D. McNaughton, Wesley H. Self, Corey Slovis
Clinical Diabetes Apr 2011, 29 (2) 51-59; DOI: 10.2337/diaclin.29.2.51
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  • Article
    • IN BRIEF
    • Hyperglycemic Crisis: DKA and HHS
    • Clinical presentation
    • Initial evaluation
    • Intravenous Fluid
    • Insulin therapy
    • Electrolyte replacement
    • Continued evaluation and treatment
    • Hypoglycemia Emergencies
    • Oral hypoglycemic agents and insulin as a cause of hypoglycemia
    • Treatment of hypoglycemia
    • Disposition of patients
    • Patients With Undiagnosed Prediabetes or Diabetes
    • Summary
    • ACKNOWLEDGMENTS
    • Footnotes
    • REFERENCES
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  • Info & Metrics
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  • Improved Glycemic Control Following Transition to Tubeless Insulin Pump Therapy in Adults With Type 1 Diabetes
  • Practical Strategies to Help Reduce Added Sugars Consumption to Support Glycemic and Weight Management Goals
  • “Counting Carbs to Be in Charge”: A Comparison of an Internet-Based Education Module With In-Class Education in Adolescents With Type 1 Diabetes
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