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Diabetic Ketoacidosis :cheese_wedge: - Coggle Diagram

- - - - hypo/normo/hyper-natremia 🧂
      - Hypo/normo -kalemia :banana:
    - - BUN/urea/Creatinine
        
        Azotemia (hemoconcetration)
      - Dipstick
        
        Ketonuria ( :green_cross: Beta-HB)
        
        Glucosuria
      - Culture (2n UTIs)
    - - :dog:
        
        DKA: >3.5mmol/L:fire:
        
        Diabetic: <2.8mmol/L
        
        N: <0.15mmol/L
      - :cat:
        
        Diabetic: 0.5-2mmol/L
        
        DKA: >2.55mmol/L:fire:
        
        N: <0.5mmol/L
  - - - :arrow_up: PCV
      - Leukocytosis
      - Neutrophillia w/ left shift
      - Heinz Body :cat:
      - non regenerative anemia :dog:
    - - Hyperglycemia
      - :arrow_up: urea/creatinine
      - Mild :arrow_up:ALT/ALP/AST
      - :arrow_up: amylase & lipase
- - - - IM
        
        Initial: 0.2U/kg IM
        
        Hourly: 0.1U/kg IM *until BG <14-17mmol/L
        
        Once rehydrated switch to SQ
      - IM
        
        Start at BG 14-17mmol/L -> Measure 2-4hrs
        
        Dehydration: 0.1-0.4U/kg (4-6hr)
        
        Hydrated: 0.1-0.5U/kg (6-8hr)
      - CRI
        
        :one: Insulin:0.1IU/kg/hr + buretrol
        
        :two: Dilute insulin in sml volume of 0.9%NaCl (select aprop riate ~10ml/hr)
        
        :three: Purge IV line w/ 50ml of insulin:Nacl mixture
        
        :four:Start solution on selected rate & monitor BG ~2hr
  - - - Hypo = Urine loss + insulin
      - if <2.9mEq/L
        
        CRI
        
        0.5MeQ/Kg/hr (4hr max)
    - - Hypo = urine loss + insulin
      - tx
        
        Dose range: KPO4 0.03-0.12mmol/kg/hr
        
        0.1mmol/kg/hr IV for 6hrs
  - - - P148
      - PLA
      - LRS
      - Normosol
    - - 0.9% NaCl
  - - - Metoclopramide
      - Ondansetron
      - Maropitant