Diabetic Ketoacidosis || DKA
#DKA#Insulin#Infusion
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A very underrated channel!! Highly recommended for every medico!
Well explained ?
Excellent sir
Very useful thank u sir
Thanks sir?
Sir plz reply if during treatment pottasium is 2.2 should we stop insulin?
Yes
Very helpful for day to day practice. Thank you Dr.
Excellent
Very nice
Do we calculate fluid deficit in DKA as we calculate in HHS or empirically start with NS 4 to 14 ml/hr
It is very difficult to assess fluid deficits in a DKA patient as the losses occur over a period of time and weight loss can be due to lipolysis and protein breakdown..and moreover despite the loss of Intracellular volume..owing to increase intravascular osmolarity..lot of fluid shifts occurs towards intravascular compartment making the fluid deficit assessment difficult..
If you have preillness weight that becomes the gold standard and easy to calculate fluid correction.
You can also get the help of other noninvasive methods … hhs video to follow
Sir whether antibiotics should be given
It’s very important to find out the trigger.In most of the pediatric cases,infectious trigger is usually absent and antibiotics may not be necessary..Enquire the Insulin compliance..However,in a given patient it is very difficult to rule in or rule out infectious process as stress leucocytosis is present..Even If you don’t start antibiotics at the first g.. .It’s important to rule out sepsis in any case of DKA..
Depends on the precipitation factor
Thank you sir