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Cetoacidosis diabética - Treatment

Nombres alternativos

DKA; Cetoacidosis

Tratamiento:

El objetivo del tratamiento es corregir el alto nivel de glucosa en la sangre con insulina. Otro objetivo es reponer los líquidos perdidos a través de la micción y el vómito.

La mayoría de las veces, será necesario que vaya al hospital, en donde harán lo siguiente:

  • Le administrarán insulina.
  • Le repondrán líquidos y electrolitos.
  • Se encontrará y tratará la causa de la afección (como una infección).

Usted posiblemente pueda reconocer los primeros signos de advertencia y hacer los cambios en casa antes de que la afección empeore. Es importante permanecer en estrecho contacto con el médico.

Pronóstico:

La acidosis puede llevar a enfermedad grave o la muerte. Una terapia mejorada para personas jóvenes con diabetes ha disminuido la tasa de mortalidad a raíz de esta afección; sin embargo, sigue siendo un gran riesgo en los ancianos y en las personas que entran en coma cuando el tratamiento se ha retrasado.

Posibles complicaciones:

Cuándo contactar a un profesional médico:

Esta afección puede convertirse en una emergencia médica. Llame al médico si nota los síntomas iniciales de la cetoacidosis diabética.

Acuda a la sala de emergencias o llame al número local de emergencias (911 en los Estados Unidos) si presenta:

  • Disminución del estado de conciencia
  • Aliento con olor a frutas
  • Náuseas
  • Dificultad para respirar
  • Vómitos
  • Reviewed last on: 6/28/2011
  • Ari S. Eckman, MD, Division of Endocrinology and Metabolism, Trinitas Regional Medical Center, Elizabeth, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Eisenbarth GS, Polonsky KS, Buse JB. Type 1 Diabetes Mellitus. In: Kronenberg HM, Melmed S, Polonsky KS, Larsen PR. Kronenberg: Williams Textbook of Endocrinology. 11th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 31.

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