{"id":5681,"date":"2017-11-08T04:02:28","date_gmt":"2017-11-08T03:02:28","guid":{"rendered":"http:\/\/news-papers.eu\/?p=5681"},"modified":"2017-11-07T22:40:29","modified_gmt":"2017-11-07T21:40:29","slug":"hypo-hyperglykaemie-cokg-teil-3","status":"publish","type":"post","link":"https:\/\/news-papers.eu\/?p=5681","title":{"rendered":"Hypo-\/Hyperglyk\u00e4mie &#038; CoKG &#8211; Teil 3"},"content":{"rendered":"<p style=\"text-align: justify;\"><strong><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"5668\" data-permalink=\"https:\/\/news-papers.eu\/?attachment_id=5668\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/11\/Zucker-e1505688826503.jpg?fit=300%2C275&amp;ssl=1\" data-orig-size=\"300,275\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Zucker\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/11\/Zucker-e1505688826503.jpg?fit=300%2C275&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/11\/Zucker-e1505688826503.jpg?fit=1024%2C939&amp;ssl=1\" class=\" wp-image-5668 alignright\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/11\/Zucker.jpg?resize=136%2C125\" alt=\"\" width=\"136\" height=\"125\" \/>Teil 3<\/strong>\u00a0zu <strong>Hypo- und Hyperglyk\u00e4mie<\/strong> und die Behandlung des <strong>ketoazidotischen oder hyperglyk\u00e4mischen Komas<\/strong>:<\/p>\n<blockquote>\n<p style=\"text-align: justify;\"><strong>Kalscheuer H et al. Diabetologische Notf\u00e4lle\u00a0Hypoglyk\u00e4mie, ketoazidotisches und\u00a0hyperglyk\u00e4misches Koma. Internist 2017; 58:1020\u20131028<\/strong><\/p>\n<\/blockquote>\n<hr \/>\n<p>Dieses mal geht es um die <strong>hyperglyk\u00e4mische, hyperosmolare Entgleisung<\/strong> (HHE):<\/p>\n<ul>\n<li>Entwicklung \u00fcber l\u00e4ngere Zeit mit Hyperglyk\u00e4mie, Hyperosmolarit\u00e4t und Dehydratation<\/li>\n<li>Hyperosmolarit\u00e4t bei Hyperglyk\u00e4mie und Verlust elektrolytarmen Wassers<\/li>\n<li>keine gr\u00f6\u00dferen Mengen an Ketonk\u00f6rper<\/li>\n<li>rund 1% aller diabetesbezogenen Krankenhausaufnahmen<\/li>\n<li>Mortalit\u00e4t der HHE: 5-16%<\/li>\n<li>als Erstmanifestation oder bei schlecht eingestellten Typ 2 Diabetes mellitus (T2DM)<\/li>\n<li>Wasserdefizit rund 10-15% des K\u00f6rpergewichts<\/li>\n<li>ausgepr\u00e4gte Insulinresistenz<\/li>\n<li><strong>Fr\u00fchsymptome:<\/strong>\n<ul>\n<li>Polydypsie<\/li>\n<li>Polyurie<\/li>\n<li>Gewichtsverlust<\/li>\n<li>Blutglucose &gt; 600 mg\/dl (33 mmol\/l)<\/li>\n<li>Lethargie bis Koma<\/li>\n<li>Volumenmangelschock<\/li>\n<li>akutes Nierenversagen<\/li>\n<li>BGA: pH &gt;7,3, Serumicarboat &gt;18 mmol\/l<\/li>\n<li>Serumosmolarit\u00e4t: &gt;320 mOsm\/kg<\/li>\n<li>effektive Serumosmolalit\u00e4t: OS = 2 * Na+ (mmol\/l) + BZ (mmol\/l)<\/li>\n<\/ul>\n<\/li>\n<li><strong>Therapie:<\/strong>\n<ul>\n<li>1. Volumensubstitution 2000-3000 ml in ersten 1-2 h (Verlust h\u00e4ufig 8-12 l)<\/li>\n<li>2. Kaliumsubstitution (wenn notwendig)<\/li>\n<li>cave: Hirn\u00f6dementwicklung, ggf. Oberk\u00f6rperhochlagerung, Mannitolgabe und hyperbare Kochsalzl\u00f6sungen<\/li>\n<li>intensivmedizinische \u00dcberwachung<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<hr \/>\n<h6 style=\"text-align: justify;\">F\u00fcr Angaben \u00fcber Dosierungsanweisungen und\u00a0Applikationsformen kann keine\u00a0Gew\u00e4hr \u00fcbernommen werden. Jeder Benutzer ist\u00a0angehalten, durch sorgf\u00e4ltige Pr\u00fcfung der Beipackzettel\u00a0der verwendeten Pr\u00e4parate und gegebenenfalls\u00a0nach Konsultation eines Spezialisten festzustellen,\u00a0ob die in diesem Blog gegebenen Empfehlung f\u00fcr Dosierungen\u00a0oder die Beachtung von Kontraindikationen gegen\u00fcber\u00a0der Angabe in diesem Blog\u00a0abweicht. Eine\u00a0solche Pr\u00fcfung ist besonders wichtig bei selten verwendeten\u00a0Pr\u00e4paraten oder solchen, die neu auf den\u00a0Markt gebracht worden sind. Jede Dosierung oder\u00a0Applikation erfolgt auf eigene Gefahr des Benutzers. Wir\u00a0appellieren an jeden Benutzer\u00a0etwa auffallende Ungenauigkeiten uns\u00a0mitzuteilen.<\/h6>\n<hr \/>\n<p><strong><a href=\"https:\/\/twitter.com\/news_papers_eu?refsrc=email&amp;s=11\" target=\"_blank\" rel=\"noopener noreferrer\">News-Papers.eu auf TWITTER<\/a>\u00a0 \u00a0 \u00a0 \u00a0\u00a0<a href=\"http:\/\/news-papers.eu\/follow\" target=\"_blank\" rel=\"noopener noreferrer\">Follow news-papers.eu<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Teil 3\u00a0zu Hypo- und Hyperglyk\u00e4mie und die Behandlung des ketoazidotischen oder hyperglyk\u00e4mischen Komas: Kalscheuer H et al. Diabetologische Notf\u00e4lle\u00a0Hypoglyk\u00e4mie, ketoazidotisches und\u00a0hyperglyk\u00e4misches Koma. Internist 2017; 58:1020\u20131028 Dieses mal geht es um [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":5668,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1170],"tags":[1174,1175],"class_list":["post-5681","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-diabetologische-notfaelle","tag-hyperglykaemische","tag-hyperosmolare-entgleisung"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/11\/Zucker-e1505688826503.jpg?fit=300%2C275&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-1tD","jetpack-related-posts":[{"id":5675,"url":"https:\/\/news-papers.eu\/?p=5675","url_meta":{"origin":5681,"position":0},"title":"Hypo-\/Hyperglyk\u00e4mie &#038;CoKG &#8211; Teil 2","author":"Michael Bernhard","date":"November 5, 2017","format":false,"excerpt":"Teil 2 zu Hypo- und Hyperglyk\u00e4mie und die Behandlung des ketoazidotischen oder hyperglyk\u00e4mischen Komas: Kalscheuer H et al. Diabetologische Notf\u00e4lle\u00a0Hypoglyk\u00e4mie, ketoazidotisches und\u00a0hyperglyk\u00e4misches Koma. Internist 2017;\u00a058:1020\u20131028 Eine wirklich absolut lesenswerte und excellent geschriebene Arbeit zu diesem auf f\u00fcr die Notfallmedizin wichtigem Thema. 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Diabetologische Notf\u00e4lle\u00a0Hypoglyk\u00e4mie, ketoazidotisches und\u00a0hyperglyk\u00e4misches Koma. Internist 2017; 58:1020\u20131028 Hier\u2026","rel":"","context":"In &quot;Diabetologische Notf\u00e4lle&quot;","block_context":{"text":"Diabetologische Notf\u00e4lle","link":"https:\/\/news-papers.eu\/?cat=1170"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/11\/Zucker-300x275.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":12481,"url":"https:\/\/news-papers.eu\/?p=12481","url_meta":{"origin":5681,"position":2},"title":"20. Folge von FASTtrack","author":"Michael Bernhard","date":"November 12, 2020","format":false,"excerpt":"Die 20. Folge von FASTtrack, ein kleines Jubil\u00e4um ! Dieses mal haben die Kollegen ein Interview zu Ketoazidose und HHE. Ausserdem passend zum Thema Diabetes etwas \u00fcber das HbA1C. Die Autoren entschuldigen sich, dass es\u00a0aufgrund der Abstandsregel und Maske der Sound leider nicht ganz so gut ist. 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Informationen zu\u00a0NOtfallWissen TO GO\u00a0finden Sie hier:\u00a0http:\/\/www.nowtogo.de\u2026","rel":"","context":"In &quot;Veranstaltungshinweis&quot;","block_context":{"text":"Veranstaltungshinweis","link":"https:\/\/news-papers.eu\/?cat=30"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/01\/NOWtogologo.jpg?resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/01\/NOWtogologo.jpg?resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/01\/NOWtogologo.jpg?resize=525%2C300 1.5x"},"classes":[]},{"id":13990,"url":"https:\/\/news-papers.eu\/?p=13990","url_meta":{"origin":5681,"position":4},"title":"D-Probleme im Nicht-traumatologischen Schockraummanagement","author":"Michael Bernhard","date":"Juli 26, 2021","format":false,"excerpt":"Im Rahmen des nichttraumatologischen Schockraummanagements zur Versorgung kritisch kranker Patienten werden akute Sto\u0308rungen der Vitalfunktionen rasch detektiert und behandelt. 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