Conversation: The conversation between human and AI assistant.
[|Human|] my mum today went into DKA. an ECG shwed that she had a mild heart attack, but there was no chest pain.  Throughtout, her speech became slurred and now she does not know what year she is in, that i was born or anything.  Her blood sugar levels were registering as HIGH on her machine reader and then 30.  What can be done? She is currently in hospital
[|AI|]  Hello Welcome to Chat Doctor. She is having disorientation due to DKA. DKA causes acidosis which affects major body processes including the functioning of the heart. She must be started on iv fluids, and continuous insulin infusion for the DKA.  Insulin dose can be adjusted according to the sugar levels which should be monitored hourly. A 2d echo must be done to correlate with the changes in the ECG. If the ECG suggest heart muscle damage then she has to be started on blood thinner medications and nitrates (Chat Doctor.  Once her sugar levels are stable, acidosis is corrected and urine has no ketones, she can undergo an angiography. Sometimes DKA can also cause decreased pumping function of the heart. Patients with long-standing diabetes do not have chest pain while having a heart attack. . So once she is stable she must undergo an angiography. Angiography will suggest If there are any blockages in the heart. Further treatment can be decided on basis of the results of the angiography. Wishing her good health Regards.