Cetoacidosis diabética y estado hiperosmolar
Diabetic ketoacidosis and hyperosmolar state
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La cetoacidosis diabética y el estado hiperosmolar han generado en su terapéutica grandes controversias en cuanto al manejo de la insulinoterapia y la reposición de líquidos y electrolitos. Aunque su fisiopatología es muy similar, las características de los pacientes son completamente diferentes y esto crea dificultades en el abordaje terapéutico. En la presente revisión se pretende aclarar de una manera sencilla las diferencias fisiopatplógicas de ambas entidades y, por lo tanto, las diferencias terapéuticas.
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