A real case of Diabetic Ketoacidosis (DKA) & Management

Рет қаралды 61,710

2 жыл бұрын

Diabetic Ketoacidosis or DKA is a medical emergency that I never take lightly. This real-life clinical case is about a young female with type I diabetes who presented to us with classical symptoms. We were able to treat her successfully with IV fluids and Insulin.
Topics Discussed in this animation are,
1) Symptoms of DKA
2) Diagnosis of DKA
3) Pathophysiology of Diabetic Ketoacidosis
4) Fluid therapy in Ketoacidosis
5) Insulin therapy in Ketoacidosis
6) Finding etiologies for DKA
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More Information (Cerebral Edema) - bit.ly/3i64XWX
Note: Kussmaul breathing is rapid and deep. the breathing pattern I have described is rapid and shallow; which tallies with typical hyperventilation seen in metabolic acidosis. As the acidosis worsens, breathing becomes rapid and deep (Kussmaul pattern)
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Пікірлер: 65

@TinyMedicine 2 жыл бұрын

Note: Kussmaul breathing is rapid and deep. the breathing pattern I have described is rapid and shallow; which tallies with typical hyperventilation seen in metabolic acidosis. As the acidosis worsens, breathing becomes rapid and deep (Kussmaul pattern)

@IxETeMpTeD 2 жыл бұрын

As a final year medical student, I must say this is highly accurate medicine and excellently presented.

@TinyMedicine 2 жыл бұрын

Thank you! appreciate it.

@jamesmartinez2034 5 ай бұрын

Thank you for this video! My dad recently had surgery and had to rush him by ambulance due to him going into DKA. He is a type 2 diabetic and man did this whole thing scare me. He is doing much better although still hospitalized and being monitored. Very glad for this video and what to look out for going forward with my dad.

@daddygomez6700 2 жыл бұрын

This exactly what I had but I had codvic as well . I spent 3 months in the hospital. I was unconscious for the first month . My kidneys stop working completely plus my lungs collapsed then my ph was super low. Also Insulin treatment wasn’t working for me ( nothing was lowering my blood sugar) . After all of that I spent 3 weeks in rehab learning how to walk and do basic things . People please check your sugar

@skillsguide9682 2 жыл бұрын

Thank God you are safe now

@carlashepard3317 6 ай бұрын

Jesus! I'm glad you pulled through

@daily237 Жыл бұрын

I have gone through dka as a type one diabetic, it's scary and I still have nightmares and scares from it, I nearly died

@TinyMedicine Жыл бұрын

Glad you survived! Was it your first presentation? Or already a diagnosed patient?

@keerthanar9751 Жыл бұрын

How did you cured it..please help me by replying to this..

@daily237 Жыл бұрын

@@keerthanar9751 you can't cure diabetes, you can fix your dka scares and episodes, if it's serious please go to the hospital

@daily237 Жыл бұрын

@@TinyMedicine I had already been diagnosed

@jzj2212 7 ай бұрын

I’ve gone into DKA 9 times I’m tired

@sarveshuttekar5621 2 жыл бұрын

This so visually appealing and at the same time the perfect explanations!!!!!!!

@malathmohammad4966 Жыл бұрын

this was so simple n easy to comprehend the illustrations r well presented too thank youuuu

@stacky512a Жыл бұрын

good, simple to understand video. thank you

@wcathy356 2 жыл бұрын

Thanks!!! I learn a lot here!!!! I hope i can watch more video about different diseases later! It really help me a lot!! Love your videos!!!! Support!!!!!!!!!!

@salmahanafy8886 2 жыл бұрын

Thanks alot .. you made it sooo simple

@dailydoseofmedicinee 2 жыл бұрын

Great explanation👏

@FarhanKhan-vp6jl 7 ай бұрын

Amazing explanation ❤️

@luanaastralis9991 2 жыл бұрын

Informative as always :D

@TinyMedicine 2 жыл бұрын

Glad to hear!

@paramachaudhuri9054 7 ай бұрын

I just came out of DKA and I m so weak I don’t know how to feel better

@charlessmith263 Жыл бұрын

Yes, DKA can cause death. The best way to avoid DKA - one way - if you have Type 1 diabetes, is to try to avoid being sick. Being sick is a risk factor for it. But if you do end up sick (like, getting an UTI), you need to get hydrated, and you may have to take more insulin as normal, up to the 200 mg/dl limit. Maybe more insulin than normal. But be careful - ease off insulin intervention in DKA too fast, and this means cerebral edema, which, like DKA in itself, could kill too. If you ease off, 5 percent dextrose is the key.

@carsonma4712 2 жыл бұрын

Great explanation

@TinyMedicine 2 жыл бұрын

Glad it was helpful!

@emar5300 Жыл бұрын

Thank you for your excelent video! Can you detail maybe when to initiate the supplementation of potassium? In the second hour of treatment maybe? Thanks!

@marinouu7890 2 жыл бұрын

Thank you ❤❤ I really likes your animation can you tell me what program are you using

@TheBrolon 4 күн бұрын

As a type 1 diabetic, who had experienced 3 DKA's, I can tell you alll that it hurts! It seriously hurts to have DKA!!

@medicalbiochemistry_ 2 жыл бұрын

Good info

@TinyMedicine 2 жыл бұрын

Glad it was helpful!

@s.k.1603 2 жыл бұрын

I am not diabetic but last time I got a urine test done, they told me my ketone levels were slightly high. At least I think that is what it was although I could be wrong unless there is something else commonly looked for that starts with a k. Honestly, I feel like with urine tests I screw them up and contaminate the cup and I never know if mid stream is mid stream enough. I don't have any of these symptoms though. I drink a lot of water yes, but that's to avoid constant snacking.

@TinyMedicine 2 жыл бұрын

Were you drunk (alcohol) before the test? Ketones can be produced and found in the urine in many conditions such as Diabetes, Extreme Fasting, or heavy alcohol consumption.

@joelinepetit-homme3976 6 ай бұрын

Interesting

@adnaneben5105 9 күн бұрын

❤

@angelechavarria8170 2 жыл бұрын

why does it can cause cerebral edema? cant find the info related to it, quite interesing! thanks a lot!

@TinyMedicine 2 жыл бұрын

Hi 1) Glucose is Highly osmatic. 2) When the blood glucose falls rapidly, so does the osmolality of blood. 3) Then fluid shifts from Plasma to Intra-cellular space. 4) Cellular edema occurs in brain (skull is non-expandable) You can read the full explanation on by blog, through the link in the description. Thanks.

@totohilongos4857 6 ай бұрын

@@TinyMedicine9

@ajuobasi548 Жыл бұрын

God bless now and always Dr Igudia. And I really wanted to say a very big thanks for helping me cure my type 2 diabetes I thought it was the end until I meant you keep saving lives doctor

@goran1986m Жыл бұрын

why did the urinary tract infection cause DKA ?

@whatsanenigma 9 ай бұрын

Infections can cause prolonged high blood sugar that can't be easily brought down with insulin. Prolonged high blood sugar causes DKA.

@goran1986m Жыл бұрын

How do people get into DKA ? Is beacuse they dont know that they have diabetes,please someone explain it ...

@whatsanenigma 9 ай бұрын

Sometimes. In fact, that's how people with diabetes died back in the days before insulin. More commonly, though, it's due to something like an infection making the blood sugar hard to control, or people not taking the full amount of insulin they need for whatever reason - cost, an inability to accept that they need to take it, or sometimes even something called diabulemia, where a type one diabetic takes too little insulin on purpose to lose weight and ends up overdoing it.

@tylerhayes5436 2 жыл бұрын

Aren’t Kussmaul Respirations by definition rapid and deep? In this video you state they are rapid and shallow.

@TinyMedicine 2 жыл бұрын

Thanks for pointing it out. You are correct: Kussmaul breathing is rapid and deep. Sorry for the mistake. I'll add a note to the description.

@tylerhayes5436 2 жыл бұрын

@@TinyMedicine Perfect! I really enjoyed the video otherwise. Really easy to listen to and did a good job making medicine topics accessible. Keep it up Doc!

@daily237 Жыл бұрын

7.1 acidosis checckkkk yooo

@jittojoyes7533 Жыл бұрын

How to cure this?

@whatsanenigma 9 ай бұрын

You can't cure the diabetes but you can cure the DKA with IV insulin and other fluids.

@miya_kim_h. 9 ай бұрын

My boyfriend is in high blood sugar coma for 12 days already he also got flu 😭😭😭 he is under ventilation 😭😭😭 I'm devastated and scared that he will die 😭😭😭😭😭😭 I even don't know too much about his state, he is in Iranian hospital far away from me 😭😭😭

@ih1708 9 ай бұрын

I'm so sorry :(( I hope he'll be okay. sending love 💝 - a fellow Iranian

@miya_kim_h. 9 ай бұрын

@@ih1708 My sunshine passed away at Thursday 😭😭😭 I'm in the big pain 😭😭😭

@ih1708 9 ай бұрын

@@miya_kim_h. Oh, I'm so so sorry :(( Please take care of yourself. Sending all the love I can find, and please remember, this too shall pass 🙏🤍🫶

@hope5443 5 ай бұрын

@@miya_kim_h.I'm so very sorry 😢

@CertifiedWs 3 ай бұрын

@@miya_kim_h. Im so sorry....

@heymiguel85 Жыл бұрын

Wait man how does a urinary tract infection cause dka?!

@TinyMedicine Жыл бұрын

urinary tract infection --> Cortisol/Epinephrine ---> less insulin, more Glucagon and glucagon like activity ---> DKA

@whatsanenigma 9 ай бұрын

@@TinyMedicine Thanks for that detailed explanation - I've been a type one for a long time now and I have always known about and had trouble with infections causing high blood sugar and occasionally DKA, but I never really thought about why.

@alla96xas 2 жыл бұрын

Wait. So she didn't immideatly think it was her type 1 diabetes that caused being that ill? What exactly does american healthcare teach you about diabetes when you get diagnosed?!?

@alla96xas 2 жыл бұрын

And she got calium through an IV? Lucky. I had to drink it in small shots every day... 🤮

@whatsanenigma 9 ай бұрын

I kind of wondered that myself, why the very first thing her mother said wasn't that she's type one. I don't think it has anything to do with the American health care system though. It might have been her first DKA - people can explain it to you all day long and it will improve your odds of knowing what it is, but until you've either been through it or seen somebody go through it, you won't necessarily really know. I personally was diagnosed at 10 years old but hadn't yet gone into DKA when that happened, so a few months later when it finally did (as the result of an infection) my family and I really had no clue, we just went to the ER. Only then did we learn a lot of important things, and we got to know about the fruity breath smell. I swear my mom could smell that on me even before I realized myself something was seriously wrong.