SYSTEM AND METHOD FOR ASSESSING DIABETIC CONDITIONS

• US 20070168136A1
• Filed: 01/19/2007
• Published: 07/19/2007
• Est. Priority Date: 01/19/2006
• Status: Abandoned Application

• Current Assignee: Glucotec, Inc.
• Original Assignee: Glucotec, Inc.
• Inventors: GROUNSELL, RICHARD L., DURSCHLAG, MAURICE E., BOOTH, ROBERT C.
• Application Number:
  US11/625,131
• Publication Number:
  US 20070168136A1
• Time in Patent Office: Days
• US Class Current: 702/19
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/14539 for measuring pH
• CPC Class Codes: A61B 5/14546 for measuring analytes not otherwise provided for, e.g. ions, cytochromes
• CPC Class Codes: A61B 5/4869 Determining body composition
• CPC Class Codes: A61M 5/1723 using feedback of body parameters, e.g. blood-sugar, pressure measurement of body parameters A61B5/00

Abstract

A system is provided for a keto-acidosis protocol which includes a computer processor having patient parameter data input. The patient parameter data input to the computer processor may include the patient'"'"'s blood glucose level, a target patient blood glucose level, a patient'"'"'s carbon dioxide level, a patient'"'"'s sodium level, a patient'"'"'s blood pH value, and the patient'"'"'s potassium level which has been measured. A patient hydration computer program assesses the patient'"'"'s hydration state. Coupled to the patient hydration computer program is a patient potassium computer program to assess the patient'"'"'s potassium level and a patient blood pH value computer program assesses the patient'"'"'s blood pH value. A display monitor is coupled to the computer processor for displaying indicia thereon responsive to the actuation of the patient hydration computer program, the patient potassium computer program, and the patient blood pH value computer program.

Claims

1. A method for providing a diabetic keto-acidosis protocol for managing a patient'"'"'s keto-acidosis state including the steps of:

(a) establishing a computer processor for actuating a computer program for determining the patient'"'"'s keto-acidosis state;

(b) inputting a plurality of patient parameters to said computer processor, said patient parameters including a patient'"'"'s blood glucose level, a target patient blood glucose level, a patient'"'"'s blood carbon dioxide level, a patient'"'"'s blood sodium level, a patient'"'"'s blood pH value, and a patient'"'"'s blood potassium level;

(c) initiating a keto-acidosis protocol when said patient'"'"'s blood glucose level is above a predetermined value;

(d) assessing a patient'"'"'s hydration state when said patient'"'"'s blood carbon dioxide and blood pH value are above respective predetermined values; and

(e) displaying a hydration warning indicia and hydration corrective action indicia to be taken on a display monitor when said patient'"'"'s hydration state is assessed.

2. The method as recited in claim 1, where the steps of assessing said patient'"'"'s hydration state includes the steps of determining whether a patient is in hypovolemic shock, cardiogenic shock or has mild hypotension and displaying respective warning indicia on said display monitor when said hypovolemic shock, cardiogenic shock or mild hypotension is determined.

3. The method as recited in claim 2, where the steps of determining a patient'"'"'s mild hypotension state includes the steps of assessing said patient'"'"'s blood sodium level and displaying a hypotension warning indicia on said display monitor responsive to said patient'"'"'s sodium level.

4. The method as recited in claim 3, where the steps of assessing said patient'"'"'s sodium level includes the steps of:

(a) displaying a first hypotension warning indicia on said display monitor when said patient'"'"'s blood sodium level is above approximately 4 mg/dL;

(b) displaying a second hypotension warning indicia on said display monitor when said patient'"'"'s blood sodium level is less than approximately 4 mg/dL; and

(c) displaying corrective action indicia on said display monitor responsive to said first hypotension warning indicia and said second hypotension warning indicia.

5. The method as recited in claim 4, where the step of assessing said patient'"'"'s blood sodium level is followed by the step of determining whether said patient'"'"'s blood glucose level is less than said patient'"'"'s target blood glucose level.

6. The method as recited in claim 5, where the step of determining said patient'"'"'s blood sodium level includes the steps of administering a 5% dextrose solution with 0.45% sodium chloride at a predetermined rate when said patient'"'"'s blood glucose level is less than said patient'"'"'s target blood glucose level.

7. The method as recited in claim 1, where the step of assessing said patient'"'"'s hydration state is followed by the steps of assessing said patient'"'"'s blood potassium level and displaying a respective potassium warning indicia responsive to said patient'"'"'s blood potassium level.

8. The method as recited in claim 7, where the step of determining said patient'"'"'s blood potassium level includes the steps of:

(a) displaying a first potassium warning indicia on said display monitor when said patient'"'"'s blood potassium level is less than 3.3 mEq/L;

(b) displaying a second potassium warning indicia on said display monitor when said patient potassium level is greater than 3.3 mEq/L and less than 5.0 mEq/L;

(c) displaying a third potassium warning indicia on said display monitor when said patient'"'"'s blood potassium level is greater than 5.0 mEq/L; and

(d) displaying a potassium corrective action indicia on said display monitor responsive to said first, second and third potassium warning indicia.

9. The method recited in claim 8 where the step of displaying said third potassium warning indicia includes the step of repeating step (c) after a predetermined time interval.

10. The method as recited in claim 7, where the step of determining said patient'"'"'s blood potassium level is followed by the steps of assessing said patient'"'"'s blood pH value and displaying a respective blood pH value warning indicia responsive to said patient'"'"'s blood pH value.

11. The method as recited in claim 10, where the step of assessing said patient'"'"'s blood pH value includes the step of comparing said patient'"'"'s blood pH value to a plurality of blood pH values.

12. The method as recited in claim 11 where the step of comparing said patient'"'"'s blood pH value includes the steps of:

(a) displaying a first blood pH value warning indicia on said display monitor when said patient'"'"'s blood pH value is less than 6.9;

(b) displaying a second blood pH value warning indicia on said display monitor when said patient'"'"'s blood pH value is greater than 6.9 and less than 7.0;

(c) displaying a third blood pH value warning indicia on said display monitor when said patient'"'"'s blood pH value is greater than 7.0; and

,

(d) displaying a blood pH value corrective action indicia on said display monitor responsive to said first, second and third blood pH value warning indicia.

13. A system for providing a diabetic keto-acidosis protocol comprising:

(a) a computer processor having patient parameter data input thereto, said patient parameter data being input to said computer processor including a patient'"'"'s blood glucose level, a target patient blood glucose level, a patient'"'"'s blood carbon dioxide level, a patient'"'"'s blood sodium level, a patient'"'"'s blood pH value, and a patient'"'"'s blood potassium level;

(b) a patient hydration computer program for assessing a patient'"'"'s hydration state;

(c) a patient potassium computer program for assessing said patient'"'"'s blood potassium level;

(d) a patient blood pH value computer program for assessing said patient'"'"'s blood pH value;

(e) a display monitor coupled to said computer processor for displaying predetermined indicia responsive to actuation of said patient hydration computer program, said patient potassium computer program and said patient blood pH value computer program.

14. The system as recited in claim 13, where said patient hydration computer program includes means for determining whether a patient is in hypovolemic shock, cardiogenic shock or has mild hypotension, said means for determining being displayed on said display monitor as hydration warning indicia and hydration corrective action indicia.

15. The system as recited in claim 14 where said patient hydration computer program includes means for assessing said patient'"'"'s blood sodium level within said means for determining mild hypotension and a hypotension warning indicia on said display monitor responsive to said patient'"'"'s blood sodium level.

16. The system as recited in claim 15, where said hypotension warning indicia includes:

(a) a first hypotension warning indicia on said display monitor when said patient'"'"'s blood sodium level is above approximately 4 mg/dL;

(b) a second hypotension warning indicia on said display monitor when said patient'"'"'s blood sodium level is less than approximately 4 mg/dL; and

(c) a corrective action indicia on said display monitor responsive to said first and second hypotension warning indicia.

17. The system as recited in claim 13 where said patient potassium computer program includes means for assessing said patient'"'"'s blood potassium level and a potassium warning indicia for being displayed on said display monitor responsive to said patient'"'"'s blood potassium level.

18. The system as recited in claim 17, where said potassium warning indicia includes:

(a) a first potassium warning indicia on said display monitor when said patient'"'"'s blood potassium level is less than 3.3 mEq/L;

(b) a second potassium warning indicia on said display monitor when said patient'"'"'s blood potassium level is greater than 3.3 mEq/L and less than 5.0 mEq/L;

(c) a third potassium warning indicia on said display monitor when said patient'"'"'s blood potassium level is greater than 5.0 mEq/L; and

(d) a potassium corrective action indicia on said display monitor responsive to said first, second and third potassium warning indicia.

19. The system as recited in claim 13, where said patient blood pH value computer program includes means for assessing said patient'"'"'s blood pH value and a blood pH value warning indicia for being displayed on said display monitor responsive to said patient'"'"'s blood pH value.

20. The system as recited in claim 19, where said blood pH value warning indicia includes:

(a) a first blood pH value warning indicia on said display monitor when said patient'"'"'s blood pH value is less than 6.9;

(b) a second blood pH value warning indicia on said display monitor when said patient'"'"'s blood pH value is greater than 6.9 and less than 7.0;

(c) a third blood pH value warning indicia on said display monitor when said patient'"'"'s blood pH value is greater than 7.0; and

,

(d) a blood pH value corrective action indicia on said display monitor responsive to said first, second and third blood pH value warning indicia.