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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?
Like a clear discussion of acid base physiology and the potassium sodium shifts !
15 y old, Known DM on insulinCame 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 Blher Lactic Acid 4, Cr elevated for the first time 80she was Tachycardic persistently 130 and after fluid 112she injects her self with insulin before presentation to ED
is it still considered Euglycemic DKA although PH is 7.35?
What you do matters.