Lecture diabetic emergencies

Question 1

why cant we give a fast acting sugar with fat in treatment for hypo

Answer 1

fat slows the digestion down

Question 2

what insulin do you put in variable rate infusion

Answer 2

novarapid- short acting - still gonna be in system for 2 hr

Question 3

what is glucose affect on water

Answer 3

pulls all water from mucus membranes causing symptom of thirst

Question 4

fixed rate take weight and give via that- purpose of this is trying to bring glucose and ketones down

variabel rate will bobble and great for thestres and keep them level

Question 5

if pt is anueric dont givr potassium as will likely be high

Question 6

treatment for DKA type 1

Answer 6

never stop basal insulin
replace fluids - IV over 1 hour 1L
replace inuslin - FII 0.1 unit per kg
replace electrolytes - IV potassium 40mmol only if qithin rnage
avoid hypo - IV dextrose glucose under 14