Diabetes and DKA

Question 1

Describe initial management in DKA

Answer 1

Fluids first (1L NaCl 0.9% over 1hr)

Then insulin at 0.1unit/kg/hour IV infusion

Correct electrolytes

add dextrose when sugars let lower

manage in HDU

Question 2

Which type of insulin is appropriate to prescribe in DKA

Answer 2

actrapid

IV infusion

0.1units/kg/hr

Question 3

for DKA is it fixed rate or variable rate insulin infusion?

Answer 3

fixed rate