Question of the Week

Question

Question :

Posted On : 11 May 2010

what is the managment of mild DKA with patient
can take oral feeding_?

Expert Answer :

Answer Discussion :

S

srinivas reddy

0

subcutaneous insulin therapy with dietary advice

14 years ago

B

brijesh parikh

0

oral diet sugar free.
s, c insulin plain under rbs and urine acetone monitoring.
screening for precipitating factors.

14 years ago

A

abedalsalam bdour

0

discharge home

14 years ago

S

suresh kumar

0

split mix regimn and oral food

14 years ago

C

chander mohan

0

insulin with plenty of liquid orally

14 years ago

Answer 1

Mild diabetic ketoacidosis is defined as bicarbonate between 21-28meq, L and , or ph 7.10 to 7.30. In mild DKA, Insulin should be given initially as IV infusion 0.1U, kg, hr and then given as subcutaneous as 1U, kg when plasma Glucose decreases to around 200mg, dl. Fluids can be given orally with potassium and sodium chloride howebsitey for 24 hours and then can proceed to liquids and soft food later.

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