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Diabetic Ketoacidosis Treatment Guidelines

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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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Popular Questions

  1. Old Forum Import

    What would cause my breath to smell like I've been drinking sometimes and I have not? Nor did I have anything to drink the night before? I've gotten in trouble at work because I suffer from occasional vascular migraines and I look like I'm drinking and now my supervisor says I smelled like I was drinking. I think she's lying -- but could there be a cause? I don't drink because I'm really a chronic dieter and don't want the empty calories.

  2. Doc Kelley

    There are some people that produce alcohol in their intestinal tract from undigested food in excess of normal amounts. This has resulted in incorrect accusations, arrests, and even, in some cases, intoxication without actually drinking alcoholic beverages.

  3. Old Forum Import

    Do you know if any vitamins or minerals taken as
    a daily supplement cause the same smell ??
    Also, do you know if Diflucan taken daily can cause
    a similar smell or interact with other drugs to cause
    an alcohol aroma ??
    Charles

    kstew likes this.

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