18.8.2013(DKA)

Question 0

When is 10%D administered to DKA pt?

Answer 0

When blood glucose level reaches 250mg/dl

Question 1

Precipitating factors for DKA

Answer 1

Infection
CVA
MI
DVT
sepsis
Trauma
Pregnancy

Question 2

Fluid resuscitation in DKA

Answer 2

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

Question 3

When should insulin treatment be started in DKA

Answer 3

After an hour of IV fluid replacement

Question 4

Route of administration of insulin in DKA

Answer 4

I.m or IV

Subcutaneous absorption is reduced because of dehydration

Question 5

Fluid after 180mg/dl glucose is reached

Answer 5

5-10%D+ 0.45N Nacl

Question 6

causes of Euglycemic DKA

Answer 6

pregnancy

alcoholism

Question 7

Average degree of dehydration in DKA pts

Answer 7

8-9% of body weight

Question 8

amount of Fluid loss if hypotension is present in DKA

Answer 8

10% of body weight

Question 9

Appropriate decrease in blood glucose in DKA

Answer 9

50-75 mg%/h

Question 10

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

Answer 10

100 mg/dl/h

Question 11

Contraindications to routine K+ replacement in DKA

Answer 11

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

Question 12

Bicarbonate therapy in DKA

Answer 12

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

Question 13

Magnesium therapy in DKA

Answer 13

ventricular arrythmias

Question 14

Complications of DKA

Answer 14

Arterial Thrombosis
Cerebral edema
Lactic acidosis
Rebound DKA