Types of Shock and Therapeutic Interventions

The four types of shock and therapeautic interventions discussed in detail.

Do you know the four types of shock and how to manage shock patients based on they type of shock they are in? If shock patients are not routine in your practice, this review will re-familiarize you with them and the therapeutic interventions recommended for treatment. What are the four types of shock? Shock is … Read more Types of Shock and Therapeutic Interventions

Euglycemic Diabetic Ketoacidosis: A Case Study

Euglycemia Diabetic Ketoacidosis: A Case Study

DKA and SGLT-2 inhibitors

One of the greatest aspects of medicine that I enjoy is a continual process of learning. We must continue to grow in our profession, seeking knowledge and experience as much as possible. One such incident occurred recently while on shift… and talk about being a little late to the party! In 2015, the US food and drug administration issued a drug safety communication that warned of an increased risk of DKA with uncharacteristically mild to moderate to glucose elevations (euglycemic DKA). This warning was based on diabetic medications involving SGLT-2 inhibitors. In fact this was based on 20 clinical cases requiring hospitalization captured between March 2013 and June 2014 in the FDA adverse event reporting system database. SGLT-2 inhibitors first came into market in 2013.  What are SGLT-2 inhibitor medications?

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