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Dka Property Management

Dka Property Management

Emergency Department Management of Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic States in Adults: A National Survey of Attitudes and Practices

Is Diabetic Ketoacidosis At Disease Onset A Result Of Missed Diagnosis?

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In 2013, the Canadian Diabetes Association, now Diabetes Canada, published national clinical practice guidelines for the effective management of diabetic ketoacidosis and hyperosmolar hyperglycemic states in adults. We sought to determine the level of compliance and attitudes of emergency physicians to these guidelines and to identify potential barriers to their use in Canadian emergency departments.

Distributed to 500 randomly selected members of the Canadian Association of Emergency Physicians. Also included in the survey were 3 clinical vignettes to assess the level of adherence to the guidelines.

The survey response rate was 62.2% (311 out of 500). The majority of physicians reported useful guidelines (83.6%); 54.6% of respondents were aware of the guidelines, and 54.7% admitted to using them in clinical practice. The most frequently reported barrier to guideline implementation was lack of education (56.0%). The clinical picture shows the respondent’s variability in fluid administration and sodium bicarbonate administration, as well as some variability in insulin and potassium administration.

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Balanced Electrolyte Solutions Versus Isotonic Saline In Adult Patients With Diabetic Ketoacidosis: A Systematic Review And Meta Analysis

Although Canadian emergency physicians generally support the guidelines, many are unaware that these guidelines exist, and barriers to their implementation are reported. These results indicate the need to improve knowledge translation strategies across Canadian emergency departments to standardize the management of diabetic ketoacidosis and hyperosmolar hyperglycemic states and support the highest quality of patient care, as well as to ensure that future guidelines include management strategies applicable to the emergency setting. .

En 2013, l’Association canadienne du diabte dorénavant appelée Diabète Canada, publiait les lignes directrices nationales de pratique clinique pour une prize en charge efficace de l’acidocétose diabétique et du syndrome d’hyperglycémie hyperosmolaire chez adult. Nous avons cherché déterminer les taux de conformité et les attitudes des médecins d’urgence l’égard des lignes directrices, et identifier of tutoring potential barriers to utilization and les services des urgences du Canada.

Cinq cents membres de l’Association canadienne des médecins d’urgence choisis de manière aléatoire ont reçu un sondage en ligne comportant des questions au sujet de leur connaissance et de leur utilization des lignes directrices

Dka Property Management

Lignes directrices de pratique clinique 2013 de l’Association canadienne du diabète pour la prévention et la prize en charge du diabète au Canada

The Heart In Diabetic Ketoacidosis: A Narrative Review Focusing On The Acute Cardiac Effects And Electrocardiographic Abnormalities

Le taux de réponse au sondage était de 62, 2 % (311 sur 500). La majorité des médecins rapportaient l’utilité des lignes directrices (83, 6 %); 54, 6% des répondants connaissaient les lignes directrices, et 54, 7% pretendaient les utiliser dans la pratique clinique. Le manque de formation constituait l’obstacle la mise en uvre des lignes directrices le plus frequemment rapporté (56.0 %). Les vignettes cliniques démontraient la variabilité entre les répondants dans l’administration des fluides et l’administration du bicarbonate de sodium, ainsi qu’une Certaine variabilité dans l’administration de l’insuline et du potassium.

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Bien que les médecins d’urgence du Canada se soient généralement montrés favors aux lignes directrices, beaucoup ignoraient leur existing et rapportaient les obstacles leur mise en uvre. Ces résultats montrent qu’il est nécessaire d’évaluer les stratégies d’application des connaissances dans tous les services d’urgence du Canada pour uniformiser la prize en charge de l’acidocétose diabétique et du syndrome d’hyperglycemia appue dan hyperdeser aux patient de la plus grande qualité, et de veiller ce que les futures lignes directrices comportent des strategies en charge applies aux des urgences service.

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Halo, Saya adalah penulis artikel dengan judul Dka Property Management yang dipublish pada September 4, 2022 di website Smallcave

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