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Rational Approach to Fluid Therapy in Acute Diabetic Ketoacidosis

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Yearbook of Intensive Care and Emergency Medicine

Part of the book series: Yearbook of Intensive Care and Emergency Medicine ((YEARBOOK,volume 2009))

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Abstract

Diabetic ketoacidosis remains one of the most serious acute complications of diabetes mellitus. The mortality rate is < 5 % with modern management strategies. The mainstay of treatment for this condition includes the following: Hydration, insulin therapy, correction of electrolyte abnormalities, and treatment of the underlying precipitating factors. While several advances have been made with the type and delivery of insulins, controversy and confusion surround the prescription of optimal fluid therapy in diabetic emergencies. The focus of this commentary is to examine the evidence base for the choice of resuscitation and maintenance fluid in diabetic ketoacidosis.

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Author information

Authors and Affiliations

  1. Department of Intensive Care, Princess Alexandra Hospital, 199 Ipswich Road, Brisbane, QLD, 4102, Australia

    J. Ochola

  2. Department of Intensive Care, Princess Alexandra & Wesley Hospitals, Brisbane, QLD, 4102, Australia

    B. Venkatesh

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  1. J. Ochola
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  2. B. Venkatesh
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Editors and Affiliations

  1. Department of Intensive Care Erasme Hospital, Université libre de Bruxelles, Route de Lennik 808, B-1070, Brussels, Belgium

    Jean-Louis Vincent (Head) (Head)

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© 2009 Springer-Verlag Berlin Heidelberg

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Ochola, J., Venkatesh, B. (2009). Rational Approach to Fluid Therapy in Acute Diabetic Ketoacidosis. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine. Yearbook of Intensive Care and Emergency Medicine, vol 2009. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-92276-6_24

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  • DOI: https://doi.org/10.1007/978-3-540-92276-6_24

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-92275-9

  • Online ISBN: 978-3-540-92276-6

  • eBook Packages: MedicineMedicine (R0)

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