The Hands-On Guide to Diabetes Care in Hospital
Autor principal: | |
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Formato: | Electrónico eBook |
Idioma: | Inglés |
Publicado: |
Newark :
John Wiley & Sons, Incorporated,
2015.
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Colección: | New York Academy of Sciences Ser.
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Temas: | |
Acceso en línea: | Texto completo |
Tabla de Contenidos:
- Intro
- Title page
- Copyright
- Preface
- Abbreviations
- PART 1 Basics
- 1 Classification of diabetes
- Phenotypic features of classical Type 1 and Type 2 diabetes
- 2 Targets for glycaemic control in hospital
- Myocardial infarction (Chapters 13 and 14)
- Stroke
- ICU/HDU
- Surgical patients (Chapter 27)
- References
- 3 Diagnosis of diabetes in hospitalised patients
- Stress hyperglycaemia
- 4 Nomenclature
- Capillary blood glucose
- VRIII (Variable Rate Intravenous Insulin Infusion, 'sliding scale' in the UK)
- HbA1c (glycated haemoglobin)
- References
- 5 Outline of physiology
- Insulin actions
- Diabetic ketoacidosis (Chapter 9)
- Insulin resistance
- Renal disease
- Hyperosmolar hyperglycaemic state
- Hypoglycaemia (Chapters 11 and 26)
- Further reading
- 6 Diabetes specialist nurses: roles and responsibilities
- PART 2 Acute diabetes problems
- 7 History taking in patients with diabetes
- Type of diabetes/diagnosis (Chapter 1)
- Duration of diabetes
- Treatment (Chapter 24)
- Complications
- 8 Assessment and initial management of patients presenting with high blood glucose levels to an emergency department
- Type 1 diabetes intercepted early In its course
- Poorly controlled patients with known Type 1 diabetes
- Newly presenting Type 2 diabetes
- Patients attending the ED with high blood glucose levels
- 9 Diabetic ketoacidosis
- Give soluble insulin intravenously at 6 U/hr
- Confirm the diagnosis
- Indicators of severity (Table 9.2)
- Overall management priorities
- ASK THE FOLLOWING after diagnosis, initial assessment and immediate treatment
- Acute management
- up to 4 hours
- Management from 4-12 hours
- Check electrolytes at 8 hours
- Management from 12-24 hours
- Planning for discharge
- Further reading
- 10 Hyperosmolar hyperglycaemic state (HHS)
- Confirm the diagnosis (Table 10.1)
- Indicators of severity (Table 10.2)
- Management priorities (Table 10.3)
- Correcting serum [Na+] for prevailing glucose
- ask THE FOLLOWING after diagnosis, initial assessment and treatment
- Complete any 'routine' investigations
- Additional history
- Prescriptions
- Continuing management up to 24-48 hours
- Continuing management
- usually after 24 hours
- 11 Managing acute hypoglycaemia in the emergency department
- Treatment (see Chapter 26)
- PART 3 Acute medical and surgical problems commonly complicated by diabetes
- 12 Presentation of cardiac disease in diabetic patients
- Features of ACS (Box 12.1)
- Heart failure
- 13 Acute coronary syndromes and stroke
- ACS
- Practicalities of blood glucose control in ACS patients (Figure 13.1)
- Stroke
- 14 Secondary prevention after ACS
- Table of checklist items (Table 14.1)
- 15 Acute pancreatitis
- Hyperglycaemia during and after AP
- Abdominal pain and hyperglycaemia
- Management of diabetes
- 16 Infections in diabetes
- Soft tissue infections
- TREATMENT (Table 16.1)