相关实验视频
Updated: Jan 14, 2026

05:10
Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
902
喘管理诱导的糖尿病酸性酸症:一个病例报告
Alyaa M Adam1, Abdulrahman Y Alzahrani1, Elaf Banoon1
1Emergency Department, National Guard Health Affairs, Jeddah, SAU.
Cureus
|October 21, 2025
概括
糖尿病酸性 (DKA) 可能由皮质类固醇和短效β-agonists (SABAs) 等药物引发,特别是当胰岛素被遗漏时. 早期的DKA可能具有非典型的呼吸道症状,需要高度的临床怀疑.
科学领域:
- 内分泌学 在内分泌学.
- 糖尿病学 糖尿病学
- 关键护理医学 关键护理医学
背景情况:
- 糖尿病酸性脂肪酸症 (DKA) 是一种严重的糖尿病并发症.
- 像葡萄糖皮质类药物和短效β-agonists (SABAs) 这样的药物可以导致DKA.
- 非典型的表现可以推迟DKA诊断.
研究的目的:
- 为了突出糖尿病患者的SABA和皮质类固醇联合治疗导致的DKA风险.
- 强调在非典型呼吸道症状和高血糖症患者中考虑DKA的重要性.
- 强调需要及时诊断和管理DKA.
主要方法:
- 一个50岁的女性患有糖尿病,出现呼吸困难的病例报告.
- 喘恶化的初始治疗是使用雾化沙布他/伊普拉和静脉注射甲基普雷迪尼索隆.
- 诊断工作,包括静脉血液气体分析,揭示DKA参数.
- 启动标准的DKA管理.
主要成果:
- 这位患者出现了喘息和心率低下,最初被视为喘.
- 持续的高血糖和低心率促使进一步调查,揭示了DKA.
- 标准的DKA管理导致了患者的稳定.
- 该案例说明了皮质类固醇,SABA和遗漏胰岛素造成的DKA风险.
结论:
- 糖尿病酸性酸症可以异常呈现呼吸系统症状,模仿喘恶化.
- 在糖尿病患者中,临床医生必须保持对DKA的高度怀疑指数,在糖尿病患者中,不可解释的心率下降或呼吸系统问题,特别是在使用皮质类固醇/SABA时.
- 早期识别和迅速治疗DKA对于预防严重后果至关重要.
相关概念视频
Diabetes Mellitus: Type 2 and Gestational
4.3K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
4.3K
Asthma-IV: Nursing Management
3.7K
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
3.7K
Asthma-IV: Diagnostic and Management
3.1K
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
3.1K
Asthma: Pathogenesis and Management
1.2K
Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
1.2K
Diabetes: Management and Pharmacotherapy
861
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
861
Diabetes: Symptoms, Diagnosis, and Complications
2.0K
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
2.0K

