Endocrinology

Question 1

for adult patients presenting with DKA in shock, what amount of NS should be given as a bolus initially?

Answer 1

500cc

Question 2

IV insulin infusion for DKA should be started at what rate for an adult patient?

Answer 2

0.1u/kg/hr, starting 1-2 hrs after the start of fluids

Question 3

during treatment for DKA, electrolytes and PH should be checked how often?

Answer 3

every 2-4 hours

Question 4

when should glucose be added to fluid resuscitation for treatment of DKA?

Answer 4

when BG reaches 250

Question 5

for pediatric DKA, in the absence of shock, how much NS should be given over 30 minutes at the start of treatment?

Answer 5

10ml/kg bolus

Question 6

what is the initial IV insulin rate for the treatment of DKA in pediatrics?

Answer 6

0.05-0.1u/kg/hr