Diabetic ketoacidosis classification: Difference between revisions
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==Classification== | ==Classification== | ||
=== Classification based on severity === | |||
Diabetic ketoacidosis may be classified according to severity into the following types: | |||
* Mild DKA | |||
* Moderate DKA | |||
* Severe DKA | |||
{| class="wikitable" | |||
! colspan="1" rowspan="2" |VARIABLE | |||
! colspan="3" rowspan="1" |DIABETIC KETOACIDOSIS | |||
|- | |||
! colspan="1" rowspan="1" |MILD (SERUM GLUCOSE > 250 MG PER DL [13.88 MMOL PER L]) | |||
! colspan="1" rowspan="1" |MODERATE (SERUM GLUCOSE > 250 MG PER DL) | |||
! colspan="1" rowspan="1" |SEVERE (SERUM GLUCOSE > 250 MG PER DL) | |||
|- | |||
| colspan="1" rowspan="1" |'''Anion gap''' | |||
| colspan="1" rowspan="1" |> 10 mEq per L (10 mmol per L) | |||
| colspan="1" rowspan="1" |> 12 mEq per L (12 mmol per L) | |||
| colspan="1" rowspan="1" |> 12 mEq per L (12 mmol per L) | |||
|- | |||
| colspan="1" rowspan="1" |'''Arterial pH''' | |||
| colspan="1" rowspan="1" |7.24 to 7.30 | |||
| colspan="1" rowspan="1" |7.00 to < 7.24 | |||
| colspan="1" rowspan="1" |< 7.00 | |||
|- | |||
| colspan="1" rowspan="1" |'''Effective serum osmolality''' | |||
| colspan="1" rowspan="1" |Variable | |||
| colspan="1" rowspan="1" |Variable | |||
| colspan="1" rowspan="1" |Variable | |||
|- | |||
| colspan="1" rowspan="1" |'''Mental status''' | |||
| colspan="1" rowspan="1" |Alert | |||
| colspan="1" rowspan="1" |Alert/drowsy | |||
| colspan="1" rowspan="1" |Stupor/coma | |||
|- | |||
| colspan="1" rowspan="1" |'''Serum bicarbonate''' | |||
| colspan="1" rowspan="1" |15 to 18 mEq per L (15 to 18 mmol per L) | |||
| colspan="1" rowspan="1" |10 to < 15 mEq per L (10 to < 15 mmol per L) | |||
| colspan="1" rowspan="1" |< 10 mEq per L (10 mmol per L) | |||
|- | |||
| colspan="1" rowspan="1" |'''Serum ketones''' | |||
| colspan="1" rowspan="1" |Positive | |||
| colspan="1" rowspan="1" |Positive | |||
| colspan="1" rowspan="1" |Positive | |||
|} | |||
==References== | ==References== | ||
Revision as of 19:59, 3 August 2017
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Diabetic ketoacidosis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Diabetic ketoacidosis classification On the Web |
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American Roentgen Ray Society Images of Diabetic ketoacidosis classification |
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Risk calculators and risk factors for Diabetic ketoacidosis classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Classification
Classification based on severity
Diabetic ketoacidosis may be classified according to severity into the following types:
- Mild DKA
- Moderate DKA
- Severe DKA
| VARIABLE | DIABETIC KETOACIDOSIS | ||
|---|---|---|---|
| MILD (SERUM GLUCOSE > 250 MG PER DL [13.88 MMOL PER L]) | MODERATE (SERUM GLUCOSE > 250 MG PER DL) | SEVERE (SERUM GLUCOSE > 250 MG PER DL) | |
| Anion gap | > 10 mEq per L (10 mmol per L) | > 12 mEq per L (12 mmol per L) | > 12 mEq per L (12 mmol per L) |
| Arterial pH | 7.24 to 7.30 | 7.00 to < 7.24 | < 7.00 |
| Effective serum osmolality | Variable | Variable | Variable |
| Mental status | Alert | Alert/drowsy | Stupor/coma |
| Serum bicarbonate | 15 to 18 mEq per L (15 to 18 mmol per L) | 10 to < 15 mEq per L (10 to < 15 mmol per L) | < 10 mEq per L (10 mmol per L) |
| Serum ketones | Positive | Positive | Positive |