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When should infusions be stopped?

Due to the onset and peak of SQ regular , it is recommended that the dose of SQ regular be administered at least 1 h before completely discontinuing the IV drip [55].

What is the most appropriate treatment for DKA?

Treatment usually involves: Fluid replacement. You'll receive fluids \u2014 either by mouth or through a vein \u2014 until you're rehydrated. The fluids will replace those you've lost through excessive urination, as well as help dilute the excess sugar in your blood.

What are the three key actions for the management of DKA?

Key DKA management points Start intravenous fluids before therapy. Potassium level should be 3.3 mEq/L before the initiation of therapy (supplement potassium intravenously if needed). Administer priming bolus at 0.1 U/kg and initiate continuous infusion at 0.1 U/kg/h.

How do you titrate drip for DKA?

- Titrate to a minimum 0.1 Units/kg/hr and glucose goal between 150 200 mg/dL until ketosis and anion gap resolves. Ketoacidosis/ AG persists FS BG 70 to 150 mg/dL: - Start D10W or D10NS @ 150 - 250 mL/h and/or consider reducing rate by .

What is the first step in DKA management?

The initial priority in the treatment of diabetic ketoacidosis is the restoration of extra-cellular fluid volume through the intravenous administration of a normal saline (0.9 percent sodium chloride) solution.

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How does DKA present in kids?

Signs and symptoms of DKA include frequent urination, increased thirst, increased hunger, unexplained weight loss and flu-like symptoms. Frequent urination \u2013 High blood sugar levels cause your child to urinate more than usual.

How do you calculate DKA fluid deficit?

NOTE: It is the responsibility of the treating clinician to check patients date of birth and weight are correct. Calculations should be double checked before prescribing fluid and . Fluid rate equals (2 x daily maintenance + deficit) 48.

How common is DKA in children?

DKA at diagnosis is more common in children aged under 5 years, and in children whose families do not have ready access to medical care for social or economic reasons. The risk of DKA in established type 1 diabetes is 1-10% per per year.

How to manage DKA in pediatrics?

Administer isotonic sodium chloride solution until blood glucose levels have fallen to 250-300 mg/dL (ie, 12-15 mmol/L), at which time glucose-containing fluids should be introduced (either 5% glucose with 0.9% saline or 5% glucose with 0.45% saline); continue maintenance with dextrose saline until the child is eating ...

How do you taper infusion?

If the blood glucose level is lower than the last level by 21-40 mg/dL, decrease the rate by half (50%) and recheck blood glucose levels in 30 minutes. If the blood glucose level is lower than the last level by 10-20 mg/dL, decrease the rate by 0.5 U/hr.

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