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Endocrinology

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Pregunta:

How is insulin given in case of DKA?

Autor: H K



Respuesta:

Simple insulin is given IV (push/drip/pump) Glucose falls differently for each pt, rehydration alone reduces glucose, infection decreases the rate of decrease by 50% 4-6 hours glucose falls to 200-300 mg/dl 8-12 hours correct the acidosis Regimen is 0.2 u/kg IVP, then 0.1 IV every hour till pt is out of acidosis, if pt glucose doesnt decrease by 10% then repeat loading dose of 0.2 Usually when first admitted to hospital we give immediately acting insulin


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Autor

H K
H K