Ketoacidosis Treatment

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Diabetic Ketoacidosis Treatment & Management

Approach Considerations Managing diabetic ketoacidosis (DKA) in an intensive care unit during the first 24-48 hours always is advisable. When treating patients with DKA, the following points must be considered and closely monitored: It is essential to maintain extreme vigilance for any concomitant process, such as infection, cerebrovascular accident, myocardial infarction, sepsis, or deep venous thrombosis. It is important to pay close attention to the correction of fluid and electrolyte loss during the first hour of treatment. This always should be followed by gradual correction of hyperglycemia and acidosis. Correction of fluid loss makes the clinical picture clearer and may be sufficient to correct acidosis. The presence of even mild signs of dehydration indicates that at least 3 L of fluid has already been lost. Patients usually are not discharged from the hospital unless they have been able to switch back to their daily insulin regimen without a recurrence of ketosis. When the condition is stable, pH exceeds 7.3, and bicarbonate is greater than 18 mEq/L, the patient is allowed to eat a meal preceded by a subcutaneous (SC) dose of regular insulin. Insulin infusion can be discon Continue reading >>

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  1. music_rox84120

    Expired Blood Ketone Test Strips

    Hi @music_rox84120 , I don't have experience with expired blood ketone strips. But we have used expired glucose test strips that were about 6-9 months past expiration, given by friends who had changed meters. When we tested them they were right on the money, within the regular noise parameter of the measurement.

    From what our CDE told us, the environmental conditions they are subject to counts for a lot. If they were exposed to extreme conditions they may not age as well.

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