DKA Mx

Question 1

What are the signs and symptoms of DKA?

Answer 1

The Triad
Hyperglycaemia>11
Ketosis >3mmol or 2+urine
Acidose pH <7.3 or HCO3 <15

Question 2

What is the first line Mx of DKA

Answer 2

Fluids

Question 3

What is the regimen for the first line Mx?

Answer 3

Fluid replacement
If BP <90sys give 1L 0.9%saline over 15 mins

Then give 1L over 1,2,2,4,4,6

Question 4

What is the regimen for the first line Mx?

Answer 4

Fluid replacement
If BP <90sys give 1L 0.9%saline over 15 mins

Then give 1L over 1,2,2,4,4,6

Question 5

What is the 2nd line management of fluids

Answer 5

insulin 0.1unit per kg/hour

When blodd flu is less than 14mmol/L either give 3 units an hour
Or
0.1unit/kg/he and add in 10% glucose

Question 6

3rd step in management

Answer 6

K if over 5.5 none
3.5 to 5.5 give 4mol
<3.5 ref to ITU