diabetic keto acidosis

Question 1

what is concerning anion gap?

Answer 1

> =15

Question 2

what represents a ketone?

Answer 2

acetone

Question 3

what can mask potassium levels in DKA?

Answer 3

extracellular shift and increased intravascular osmolarity

Question 4

what should be started at triage for DKA?

Answer 4

begin aggressive fluid therapy

Question 5

when there is a drop in simulataenously w/ glucose when insulin is administered

Answer 5

potassium

Question 6

what is the most imporant thing that you do initially?

Answer 6

volume repletion

Question 7

what does administration of fluid do?

Answer 7

restores volume and tonicity, perfuses vital organs, improves GFR, lowers serum glucose and ketones

Question 8

what is the most frequently recommended fluid for initial volume?

Answer 8

normal saline

Question 9

what is the the most life threatenting electorlyte deragnement during the treatment of DKA?

Answer 9

hypokalemia

Question 10

K is >3.3-<5.2 what do you do (normal)?

Answer 10

give IV, give K, give insulin

Question 11

majority of patients will be admitted where?

Answer 11

ICU if very ill, or MED/Surg if anion gap <25, glucose <600, and no comorbidities

Question 12

what DKA patients can be discharged?

Answer 12

early in course, can tolerate PO liquid after 6-12 hr observation