26 hours ago · Introduction. Diabetic ketoacidosis (DKA) is one of the serious acute complications of type 1 diabetes mellitus (T1DM). DKA occurs at the onset of diabetes in half of patients (1,2).The annual rate of DKA in pediatric T1DM is 6-8%, with a case fatality rate ranging from 0.15% to 0.31% in developed countries. >> Go To The Portal
Diabetic patients frequently utilize the prehospital care system. Common problems in this group include DKA, HHS, hypoglycemia, hyperglycemia without acidosis, and other common medical problems which may manifest with atypical presentations.
Providers should perform a 12-lead ECG and stroke exam when appropriate, especially as patients approach 40 years of age or complain of chest pain, shortness of breath or any neurologic symptoms. Causes of DKA, particularly infection, should be sought. The most important prehospital treatment is to begin isotonic IV fluids.
A patient care report is a document written by medical professionals to report about the patient’s wellbeing, care and status. This document consists of the result of the assessment and the evaluation of the patient being done by the EMTs or the EMS.
Following is an example of the nursing care plan for gestational diabetes. Start the treatment by screening the patient for the glucose tolerance test for about 1 hour. During this time, the patient is not required to fast.
There are three different types of plasma glucose test that can be used which include casual plasma glucose, fasting plasma glucose and oral glucose tolerance test (OGTT). According to WHO, there are three main criteria to be met to confirm diabetes in patients.
Diabetes mellitus (DM) is a disorder in which blood glucose level is persistently above the normal range. This hyperglycaemia is thought to be due to either deficiency of insulin secretion or resistance to the action of insulin, or it could also be a combination of these6,7.
OGTT is the most effective test to detect glucose metabolism disorder where it assesses the rate of glucose excretion after administration of glucose. OGTT is strongly recommended when fasting blood glucose is within 7.0-7.8 mmol/L in the diabetic range where OGTT is practical to clarify the diagnosis6,8.
Perindopril is an angiotensin converting enzyme (ACE) inhibitor where it acts by inhibiting the conversion of angiotensin I to angiotensin II. ACE inhibitors are the preferred initial drug to be used for hypertension13. ACE is the enzyme that converts angiotensin I to angiotensin II where angiotensin II causes increase blood pressure, systemic vasoconstriction, Na2+ and fluid retention and etc16. Thus, ACE inhibitors act by directly blocking the formation of angiotensin II and also increase the bradykinin level at the same time. This results in reduced vasoconstriction and increased vasodilation through the release of bradykinin. The common side effects of perindopril include profound hypotension, dry cough, angioedema, rash and gastrointestinal disturbances13.
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the aim of this audio-visual presentation is to provide clear guidance for the accurate completion of the patient care report recording pre-hospital care interventions and medications administered to patients is an essential clinical responsibility of all pre-hospital emergency care practitioners every responder and practitioner must provide clear accurate and comprehensive patient care information the PCR is a two-part pocket-sized report comprising 10 colored panels and folded in such a way that the written information flows easily from panel to panel without having to open it out on the Topkapi the following is recorded incident information patient demographic information clinical information vital observations medication treatment care management continuity of care clinical audit emergency department handover signature and additional information the second copy has four additional panels on the back for use by the practitioner to record the following out of hospital cardiac arrest.
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EMS calls for patients with diabetes are common for many reasons, including their increased risk for cardiac disease, cerebrovascular disease, pneumonia, infection and their many diabetic complications . Knowing and recognizing common emergencies encountered in diabetics is important due to both their frequency and that they are often ...
Providers should look for signs of DKA, such as dehydration ( e.g., dry skin, dry mucous membranes, tachycardia), Kussmaul respirations and abdominal pain.
Severe hypoglycemia usually occurs when glucose is < 50 mg/dL and can lead to rapid deterioration and death if not corrected promptly.
Hyperglycemia: Increased glucose in the blood, typically linked to diabetes. Hypoglycemia: Decreased glucose in the blood, usually caused by excessive insulin or low food intake. Insulin: Hormone released by the pancreas in response to increased levels of sugar in the body.
Diabetes: A metabolic disorder that primarily results from absent or diminished insulin secretion by the pancreas or from defects of insulin receptors in the body. This causes an inability for the body to utilize glucose properly.
There are several causes of DKA, which we remember by the “five I’s” of: 1) infection; 2) infarction; 3) infant on board (i.e., pregnancy); 4) indiscretion with sugar or alcohol; and 5) insulin lack. (See Table 2.)
Patients with either Type 1 or Type 2 diabetes can present with hyperglycemia without ketosis or signs of HHS. These patients may be encountered early in the course of their DKA or HHS, and thus haven’t yet developed acidosis or hyperosmolarity, or they may just be chronically hyperglycemic.
We often hear of care reports based on by medical teams or by medical authorities. Yet, we are not sure how this differs from the kind of report that is given to us by the same people. So this is the time to make it as clear as possible.
Where do you even begin when you write a patient care report? A lot of EMS or EMTs do know how to write one since they are trained to do so.
A patient care report is a document made mostly by the EMS or EMTs. This documented report is done after getting the call. This consists of the information necessary for the assessment and evaluation of a patient’s care.
What should be avoided in a patient care report is making up the information that is not true to the patient. This is why you have to be very careful and very meticulous when writing these kinds of reports. Every detail counts.
The person or the people who will be reading the report are mostly medical authorities. When you are going to be passing this kind of report, make sure that you have all the information correctly. One wrong information can cause a lot of issues and problems.
(Location): Medic 1 responded to above location on a report of a 62 y.o. male c/o of chest pain. Upon arrival, pt presented sitting in a chair attended by first responder. Pt appeared pale and having difficulty breathing.
Patient does not respond to questions, but crew is informed by family that patient is deaf. Per family, the patient has been "sick" today and after consulting with the patient's doctor, they wish the patient to be transported to HospitalA for treatment.