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Diabetic ketoacidosis in end stage renal failure patient on maintenance dialysis – key challenges in management

Diabetic ketoacidosis (DKA) is a medical emergency which requires prompt management to prevent mortality. Treatment is complicated in end stage renal failure (ESRF) patients due to their altered physiology in sugar metabolism and fluid haemodynamics. To date, there are only a few case reports illust...

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Main Authors: Lim, Xue Meng, Lim, Christopher Thiam Seong
Format: Article
Language:English
Published: Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2020
Online Access:http://psasir.upm.edu.my/id/eprint/76949/1/2020011612322353_MJMHS_0009.pdf
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spelling oai:psasir.upm.edu.my:76949 http://psasir.upm.edu.my/id/eprint/76949/ Diabetic ketoacidosis in end stage renal failure patient on maintenance dialysis – key challenges in management Lim, Xue Meng Lim, Christopher Thiam Seong Diabetic ketoacidosis (DKA) is a medical emergency which requires prompt management to prevent mortality. Treatment is complicated in end stage renal failure (ESRF) patients due to their altered physiology in sugar metabolism and fluid haemodynamics. To date, there are only a few case reports illustrating the presentation and management of DKA in ESRF patients and a definite guideline on treatment of DKA in ESRF is seriously lacking. We report here a case of an ESRF patient on maintenance haemodialysis, who develops DKA due to missed insulin, and outline our successful treatment plan. We hope our reported case report research can further contribute to the knowledge of DKA management in ESRF. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/76949/1/2020011612322353_MJMHS_0009.pdf Lim, Xue Meng and Lim, Christopher Thiam Seong (2020) Diabetic ketoacidosis in end stage renal failure patient on maintenance dialysis – key challenges in management. Malaysian Journal of Medicine and Health Sciences, 16 (1). pp. 345-347. ISSN 1675-8544; ESSN: 2636-9346 https://medic.upm.edu.my/upload/dokumen/2020011612322353_MJMHS_0009.pdf
institution UPM IR
collection UPM IR
language English
description Diabetic ketoacidosis (DKA) is a medical emergency which requires prompt management to prevent mortality. Treatment is complicated in end stage renal failure (ESRF) patients due to their altered physiology in sugar metabolism and fluid haemodynamics. To date, there are only a few case reports illustrating the presentation and management of DKA in ESRF patients and a definite guideline on treatment of DKA in ESRF is seriously lacking. We report here a case of an ESRF patient on maintenance haemodialysis, who develops DKA due to missed insulin, and outline our successful treatment plan. We hope our reported case report research can further contribute to the knowledge of DKA management in ESRF.
format Article
author Lim, Xue Meng
Lim, Christopher Thiam Seong
spellingShingle Lim, Xue Meng
Lim, Christopher Thiam Seong
Diabetic ketoacidosis in end stage renal failure patient on maintenance dialysis – key challenges in management
author_facet Lim, Xue Meng
Lim, Christopher Thiam Seong
author_sort Lim, Xue Meng
title Diabetic ketoacidosis in end stage renal failure patient on maintenance dialysis – key challenges in management
title_short Diabetic ketoacidosis in end stage renal failure patient on maintenance dialysis – key challenges in management
title_full Diabetic ketoacidosis in end stage renal failure patient on maintenance dialysis – key challenges in management
title_fullStr Diabetic ketoacidosis in end stage renal failure patient on maintenance dialysis – key challenges in management
title_full_unstemmed Diabetic ketoacidosis in end stage renal failure patient on maintenance dialysis – key challenges in management
title_sort diabetic ketoacidosis in end stage renal failure patient on maintenance dialysis – key challenges in management
publisher Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
publishDate 2020
url http://psasir.upm.edu.my/id/eprint/76949/1/2020011612322353_MJMHS_0009.pdf
_version_ 1819299383204642816
score 13.4562235

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