Adult Endo

Question 1

What is the rule for replacing fluid in DKA?

Answer 1

1-2-3
2-3 literals of NS in 1-3hrs (5-10ml/kg/hr)

Then .5 strength saline at 150ml/hr

When glucose reaches 250mg/dL —> switch to D5 1/2 NS at 100-200ml/hr

Question 2

What blood work is done hourly in early DKA?

Answer 2

BSG

Electrolytes q2-4hrs

Question 3

How should you replace fluids in NKHS?

Answer 3

2-3 L of NS over first 1-3hrs

When glucose reaches 250 —> switch to D5 .5 NS at 100-200 ml/hr

Question 4

In DKA, when should you consider replacement of K+?

Answer 4

K < 5.5