If on recheck of BMP these patients do not meet criteria for discharge does he give another dose of insulin and recheck in 1-2 hours, or just admit at that point? If admission is it with insulin infusion and to ICU?
15 y old, Known DM on insulin Came to ED with Nausea and persistent High Blood Sugar at Home
Gluc 14 mmol, VBG: PH 7.35, Hco3 14, Pco2 35, AG 18, +ve Keton in urine and Bl her Lactic Acid 4, Cr elevated for the first time 80 she was Tachycardic persistently 130 and after fluid 112 she injects her self with insulin before presentation to ED
is it still considered Euglycemic DKA although PH is 7.35?
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Scott W., M.D. - September 2, 2017 4:05 AM
If on recheck of BMP these patients do not meet criteria for discharge does he give another dose of insulin and recheck in 1-2 hours, or just admit at that point? If admission is it with insulin infusion and to ICU?
Ian L., Dr - February 6, 2018 12:25 PM
Like a clear discussion of acid base physiology and the potassium sodium shifts !
Fawziah A. - April 21, 2018 6:19 PM
Good day!
15 y old, Known DM on insulin
Came to ED with Nausea and persistent High Blood Sugar at Home
Gluc 14 mmol, VBG: PH 7.35, Hco3 14, Pco2 35, AG 18, +ve Keton in urine and Bl
her Lactic Acid 4, Cr elevated for the first time 80
she was Tachycardic persistently 130 and after fluid 112
she injects her self with insulin before presentation to ED
is it still considered Euglycemic DKA although PH is 7.35?