DM in Kids =Clark Flashcards
1
Q
How is Type I DM diagnosed? Does it require a glucose tolerance test?
A
Symptoms:
- Polydipsia
- Polyuria
- Polyphagia
- Weight loss 200
- urine ketones +/-
2
Q
If a type I DM pt is vomiting and cannot take fluid, should you stop insulin?
A
NO! It must be continued.
3
Q
What are dehydrated type I Diabetics at risk of? Does it matter what the blood glucose is?
A
at risk for DKA even if blood glucose levels are not markedly elevated
4
Q
What is the most important treatment for DKA?
A
- Fluid therapy!
- monitor electrolytes every 2-4 hours
- K+ should be given to replenish depleted K+
- Insulin (slow drip to drop BG 100/hour)
- sodium bicarb
5
Q
How should you NEVER give sodium bicarbonate?
A
NEVER through IV push!
6
Q
What are the causes of death due to DKA?
A
Cerebral edema
hypokalemia
