Mild DKA

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Nurses Edition Commentary

Lisa Chavez, RN and Kathy Garvin, RN
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Scott W. -

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. -

Like a clear discussion of acid base physiology and the potassium sodium shifts !

Fawziah A. -

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?

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