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Rearranged By:: 4 Criteria For DKA DX
Rearranged By:: 4 Criteria For DKA DX
🙂The 5 Is
👉Infection
👉Ischemia
👉Infarction
👉Intoxication
👉Insulin missed
🌸• Rehydration 🌸
👉– 1 L/h NS in first h
👉– 1 L/h NS in second h
👉– after 1st 3 L,….then 1L/ every 2h NS. .. then 1L /every 4 h . then 1L /every 6 h.. then 1L /every 8 h…. Switch to 0.45%
NaCl once euvolemic (continue NS if corrected sodium is falling faster than 3 mosm/kg water/h)
👉– once BG reaches (11mmol/l) or 250 mg/dL then switch to D5W to maintain BG in the range of 12-14 mmol/L
🌸• Insulin therapy🌸
🌸• K+ replacement🌸
👉– when K+ 3.5-5.0 mmol/L add KCL 20 mEq/L IV fluid to keep K+ in the range of 3.5-5 mEq/L
🌸• HCO3–🌸
👉– in 0.45% NaCl
😊Summary😊
Treatment of DKA/HHS
👉 • Fluids
👉• Insulin
👉 • Potassium