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2 Cards in this Set
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Management DKA?
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Pneumonic - PANICS
Potassium 20mmol so long as no peaked T waves ECG Acisosis <7.3 seek help - administer bicarb although under guidance Normal saline (0.45% NaCl or 0.9%) 1L first hr Insulin - 6units stat then 6U/hr Catheterise and culture blood and urine Stomach aspirate if decreased consciousness to prevent aspiration Also ABGs + U&E's Antibiotics may be needed if infection present as this may be the only way to correct ketosis |
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Complications of DKA?
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1. Cerebral oedema if blood glucose reduced too quickly (Rx mannitol to decrease oedema)
2. ARDS - 3. Thromboembolism 4. DIC 5. Acute circulatory failure |
