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The Hands-On Guide to Diabetes Care in Hospital

Detalles Bibliográficos
Autor principal: Levy, David
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Newark : John Wiley & Sons, Incorporated, 2015.
Colección:New York Academy of Sciences Ser.
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)