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Diabetic Ketoacidosis 

Diabetic Ketoacidosis
Chapter:
Diabetic Ketoacidosis
Author(s):

Anne Newcomer

, and Michael Gropper

DOI:
10.1093/med/9780190226459.003.0030
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date: 25 September 2020

Perioperative clinicians caring for patients with diabetes should understand the underlying mechanisms, diagnosis, and treatment of hyperglycemic crises. Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) require prompt recognition and treatment. Disturbances such as these can create acute problems associated with intravascular volume and electrolyte abnormalities, as well as effect postoperative recovery and wound healing. Common precipitants, clinical manifestations, and basic treatment algorithms aimed at safely correcting the underlying cause, as well as the associated problems, are described in this chapter. Perioperative glycemic control is an area of recent intense investigation, and specific recommendations are provided herein.

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