7 cases of diabetic ketoacidosis in children and Nursing First Aid.docVIP

 PAGE \* MERGEFORMAT 8 7 cases of diabetic ketoacidosis in children and Nursing First Aid Study: Motive, Yaorong Na, Wang U.S. [Keywords:] in children with diabetes; ketoacidosis; first aid; Care Diabetic patients with diabetic ketoacidosis is the role in a variety of incentives, lack of insulin significantly increased, inappropriate hormone increases insulin resistance, resulting in high blood sugar, high blood ketone and metabolic acidosis as the main biochemical changes in the clinical syndrome . Children unstable condition of diabetes, blood glucose fluctuations, but prone to ketoacidosis, age, the higher the smaller the chance of ketoacidosis, the faster progression of the disease, prone to misdiagnosis. about 40% diabetic patients with diabetic ketoacidosis as the first symptom, such as the rescue is not timely easily lead to shock, coma or even death. Therefore, the clinical disease for ketoacidosis children to do early detection, early diagnosis and timely given the right professional treatment and special care, to improve the recovery rate of cure disease and reduce mortality. 1 Clinical data 1.1 General information on pediatric hospital in April 2008 -2010 were treated on June 7 cases of sick children with diabetic ketoacidosis, including 3 males and 4 females, aged 9 months to 12 years old, to ketoacidosis as the first symptom in 3 cases, past history of diabetes in 4 cases. admission blood glucose in 20mmol / L or more, including 1 case of high blood sugar 35.6mmol/L.7 cases of sick children were promptly confirmed by laboratory tests, except for 1 case repeated three times for sick children ketoacidosis caused multiple organ failure and death, the other sick children have been the correct treatment and careful nursing care improved and discharged. 1.2 The main symptoms and signs of early symptoms of diabetes symptoms worsened significantly high blood sugar, high blood ketones, urine output increased significantly, a large number o