Cetoacidose diabética

Considere a CAD em:

• Pacientes com diabetes conhecido que não estão bem[2]Joint British Diabetes Societies for Inpatient Care. The management of diabetic ketoacidosis in adults. Mar 2023 [internet publication]. https://abcd.care/sites/abcd.care/files/site_uploads/JBDS_Guidelines_Current/JBDS_02_DKA_Guideline_with_QR_code_March_2023.pdf [4]Misra S, Oliver NS. Diabetic ketoacidosis in adults. BMJ. 2015 Oct 28;351:h5660. http://www.ncbi.nlm.nih.gov/pubmed/26510442?tool=bestpractice.com [17]Karslioglu French E, Donihi AC, Korytkowski MT. Diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome: review of acute decompensated diabetes in adult patients. BMJ. 2019 May 29;365:l1114. https://www.doi.org/10.1136/bmj.l1114 http://www.ncbi.nlm.nih.gov/pubmed/31142480?tool=bestpractice.com

  • A CAD é mais comum em pessoas com diabetes tipo 1, mas também pode estar presente em pessoas com diabetes tipo 2.[1]Kitabchi AE, Umpierrez GE, Miles JM, et al. Hyperglycemic crises in adult patients with diabetes: a consensus statement from the American Diabetes Association. Diabetes Care. 2009 Jul;32(7):1335-43. http://care.diabetesjournals.org/content/32/7/1335.full http://www.ncbi.nlm.nih.gov/pubmed/19564476?tool=bestpractice.com [2]Joint British Diabetes Societies for Inpatient Care. The management of diabetic ketoacidosis in adults. Mar 2023 [internet publication]. https://abcd.care/sites/abcd.care/files/site_uploads/JBDS_Guidelines_Current/JBDS_02_DKA_Guideline_with_QR_code_March_2023.pdf

• Qualquer paciente com aumento da sede, poliúria, perda de peso inexplicável recente ou cansaço excessivo E qualquer uma das seguintes situações:[17]Karslioglu French E, Donihi AC, Korytkowski MT. Diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome: review of acute decompensated diabetes in adult patients. BMJ. 2019 May 29;365:l1114. https://www.doi.org/10.1136/bmj.l1114 http://www.ncbi.nlm.nih.gov/pubmed/31142480?tool=bestpractice.com [43]National Institute for Health and Care Excellence. Type 1 diabetes in adults: diagnosis and management. Aug 2022 [internet publication]. https://www.nice.org.uk/guidance/ng17 [48]National Institute for Health and Care Excellence. Diabetes (type 1 and type 2) in children and young people: diagnosis and management. Jun 2022 [internet publication]. https://www.nice.org.uk/guidance/ng18 http://www.ncbi.nlm.nih.gov/pubmed/32200593?tool=bestpractice.com

  • Náuseas

  • Vômitos

  • Dor abdominal[4]Misra S, Oliver NS. Diabetic ketoacidosis in adults. BMJ. 2015 Oct 28;351:h5660. http://www.ncbi.nlm.nih.gov/pubmed/26510442?tool=bestpractice.com [49]Umpierrez G, Freire AX. Abdominal pain in patients with hyperglycemic crises. J Crit Care. 2002 Mar;17(1):63-7. http://www.ncbi.nlm.nih.gov/pubmed/12040551?tool=bestpractice.com

  • Hiperventilação (respiração de Kussmaul)[50]Whited L, Graham DD. Abnormal respirations. In: StatPearls. Treasure Island, FL: StatPearls Publishing; 2019. https://www.ncbi.nlm.nih.gov/books/NBK470309

  • Desidratação

  • Nível de consciência reduzido.

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