Bsped dka calculator 2025

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The gold standard of treatment for DKA focuses on , electrolyte supplementation, and fluid resuscitation. Traditionally, large-volume resuscitation with isotonic saline has been utilized to achieve a euvolemic state [4].
Checking your blood glucose and ketones If you use a meter to test for ketones in your blood: under 0.6mmol/L is normal. 0.6 to 1.5mmol/L is slightly high test again in 2 hours. 1.6 to 3mmol/L means youre at risk of DKA and should speak to your diabetes care team for advice.
The optimal rate of glucose decline is 100 mg/dL/h. Do not allow the blood glucose level to fall below 200 mg/dL during the first 4-5 hours of treatment. Hypoglycemia may develop rapidly with correction of ketoacidosis due to improved sensitivity.
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Plasma osmolarity usually is increased (greater than 290 mOsm/L) in patients with diabetic ketoacidosis. If plasma osmolarity cannot be measured directly, it may be calculated with the following formula: plasma osmolarity = 2 (Na + K) + BUN/3 + glucose/18. osmolarity also is increased in affected patients.
Commonly accepted criteria for diabetic ketoacidosis are blood glucose greater than 250 mg/dl, arterial pH less than 7.3, serum bicarbonate less than 15 mEq/l, and the presence of ketonemia or ketonuria.

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