Dka Flashcards

1
Q

The initial fluid of choice for correcting DKA is

A

isotonic saline/ 0.9% saline (normal saline), aiming at giving about a total of 4 litres within 4 hours. Attempt to correct fluid deficit within 24 hours

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2
Q

4lites in 4hrs

A

1litre in the first 30 mins
1litre in the next 1 hour
1litre in the next 2 hours
1litre in the next 4 hours

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3
Q

If serum sodium is above the upper limit, in the correction of fluids consider

A

0.45% saline as the fluid of choice.

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4
Q

When blood glucose reaches 13 mmol/L, switch to ? Why?

A

dextrose saline. It allows insulin to be given to correct acidosis whilst preventing hypoglycaemia. [GDA, 2023].

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