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Thorough Laboratory Evaluation of Diabetic Patient upon Discharge; Ketosis Might Remain Unresolved

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Author(s): Atif Usman | Amal K. Suleiman | Syed Azhar Syed Sulaiman | Amer Hayat Khan

Journal: International Journal of Pharmacology
ISSN 1811-7775

Volume: 8;
Issue: 6;
Start page: 590;
Date: 2012;
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Keywords: guidelines | discharge | Diabetic ketoacidosis | laboratory profiles | diagnosis | treatment

ABSTRACT
Beside the extensive protocol determined by researchers, laboratory profiles are not given enough importance. We hereby present a case to elaborate significance of these profiles. A 56 years old lady of Indian race was admitted to emergency department with symptoms of cough, vomiting, giddiness and lethargy. Patient had history of diabetes, hypertension and dyslipidemia and was found dehydrated and tachypnoic with acidotic breath. Initial laboratory profiles revealed diabetic ketoacidosis with sepsis and treatment was initiated as per protocol. Antibiotic was given for 3 days to cover sepsis and patient was discharged without taking laboratory profiles. Patient was however readmitted shortly after discharge with much severe acidosis than observed in first admission. Protocol followed was same as last time with exception of close monitoring of laboratory profiles. Patient was finally discharged however, with a stable profile as compared to initial discharge. Laboratory profiles are important to monitor as these are integral part of treatment protocol which should be followed. We also recommend that these profiles should be recorded at time of discharge as well.
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