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DKA - Coggle Diagram
DKA
Features of severe DKA
Ketones >6
Bicarbonate <5
pH <7.1
Hypokalaemia <3.5
GCS<12
SBP <90
Anion gap >16
Management
fixed insuion infusion 0.1 units/kg/hour
< ketones by 0.5 mmol/hour
bicorbonate 3mmol/hr
blood glucose 3mmol/hr
Fluid resuscitation
0.9% saline
pottasium debt 3-5mmol/kg
Treat underlying cause
Supportive
FAST HUGS
Triad
Ketonaemia >2
Hyperglycaemia >11
Acidaemia pH<7.3
HHS
Hyperosmoality
2Na + Glucose + Urea
Hypovolaemia
Hyperglycaemia
Children
Fluid requirement
Deficit
Bodyweightx %dehydration x10
Maintenance
<10kg = 100mls/kg
11-20kg = 50mls/kg
20kg = 20mls/kg
Delay insulin for one hour