Diabetic Ketoacidosis Flashcards
Management of diabetic keto acidosis ?
Management of diabetic ketoacidosis
10% in the first hour. Monitoring of blood glucose levels should be done for optimal insulin. replacement Once patient becomes conscious, insul can be administered subcutaneously.
• Fluid replacement: Initially, normal saline is infused intravenously at 1 L/h; then rate of infusion is gradually decreased depending on the requirement of the patient. Once blood glucose levels fall to about 250 mg/dL, 5% glucose in ½N saline is administered to prevent development of hypoglycaemia and cerebral oedema.
• Potassium: Following insulin therapy and correction of acidosis, potassium shifts into the cells resulting in hypokalaemia. Potassium chloride 10=20 mEq/h is infused after 4 hours of initiation of insulin therapy. Serum potassium and ECG should be monitored to determine potassium replacement
• Intravenous sodium bicarbonate is administered if arterial pH is <7.
• Papa: Patent with severe y popho porte a requing phosphate replacemen
• Antibiotics to treat associated infection,
