Open AccessEmergency care for coma in diabetic patients
Author(s) -
L. I. Anchikov
Publication year - 1995
Publication title -
kazanskij medicinskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2587-9359
pISSN - 0368-4814
DOI - 10.17816/kazmj97154
Subject(s) - medicine , coma (optics) , diabetic ketoacidosis , diabetic coma , hypoglycemia , diabetes mellitus , ketoacidosis , ketosis , insulin , fluid replacement , intensive care medicine , anesthesia , pediatrics , endocrinology , type 1 diabetes , physics , optics
In diabetes mellitus, acute complications are possible in the form of diabetic ketoacidosis, hyperosmolar, non-ketotic, non-acidotic states of hypoglycemia, which can cause coma if patients are not provided with timely assistance. Treatment of patients with ketoacidotic coma, which is more common than other complications, includes the administration of rapid-acting insulin, fluid replacement, gastric drainage, electrolyte replacement, and management of comorbidities. With ketoacidosis, table number 9 is shown with fat restriction; once a day, sweet tea is allowed until the disappearance of acetone in the urine.