18.8.2013(DKA) Flashcards

0
Q

When is 10%D administered to DKA pt?

A

When blood glucose level reaches 250mg/dl

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1
Q

Precipitating factors for DKA

A
Infection
CVA
MI
DVT
sepsis
Trauma
Pregnancy
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2
Q

Fluid resuscitation in DKA

A

1-3L in 1st hour
1L in 2nd hour
1L in 3rd and 4th hour
1L every 4hrs

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3
Q

When should insulin treatment be started in DKA

A

After an hour of IV fluid replacement

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4
Q

Route of administration of insulin in DKA

A

I.m or IV

Subcutaneous absorption is reduced because of dehydration

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5
Q

Fluid after 180mg/dl glucose is reached

A

5-10%D+ 0.45N Nacl

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6
Q

causes of Euglycemic DKA

A

pregnancy

alcoholism

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7
Q

Average degree of dehydration in DKA pts

A

8-9% of body weight

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8
Q

amount of Fluid loss if hypotension is present in DKA

A

10% of body weight

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9
Q

Appropriate decrease in blood glucose in DKA

A

50-75 mg%/h

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10
Q

osmotic encephalopathy is a possibility if glucose is corrected at a rate more than

A

100 mg/dl/h

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11
Q

Contraindications to routine K+ replacement in DKA

A

K+ more than 6 mmol/L
ECG evidence of hyperkalemia
oliguria confirmed by bladder catheterisation
renal failure

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12
Q

Bicarbonate therapy in DKA

A

Shock or coma
pH< 5 mEq/L
acidosis induced cardiac or respiratory dysfunction
severe hyperkalemia

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13
Q

Magnesium therapy in DKA

A

ventricular arrythmias

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14
Q

Complications of DKA

A

Arterial Thrombosis
Cerebral edema
Lactic acidosis
Rebound DKA

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