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exactly when u start oral feeding in DKA? - northeast - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 3 (https://www.usmleforum.com/forumdisplay.php?fid=6) +--- Thread: exactly when u start oral feeding in DKA? - northeast (/showthread.php?tid=416395) |
exactly when u start oral feeding in DKA? - northeast - ArchivalUser - 06-03-2009 ?? 0 - ArchivalUser - 06-03-2009 when bs reach 250 start s/q insuline with iv insuline, then after 1 to 2 hour of s/q insuline with no nausea and vomiting start oral diet and also discontinue iv insuline also 0 - ArchivalUser - 06-03-2009 SC insulin 0 - ArchivalUser - 06-04-2009 1.DKA=high bs,ketosis,acidic ph,low hco3------ivf=NSS+iv insulin[0.1 unit/kg/hour] regular/rapid acting,iv kcl once urine passed and k is less than upper normal limit,npo if abdo pain,altered sensorium or vomiting. 2.when bs=250 ,lower insulin infusion pump rate----dont stop insulin .....start iv dextrose 5% at 80 ml/hr....balance insulin with dextrose to maintain BS of 15 or so. 3.as soon as patient is stable and in a condiotion to accept oral feeds......no vomit,not drowsy...we can start oral feeds ...oral feeds also give us chance to shift patient onto s/c insulin 0 - ArchivalUser - 06-04-2009 AG is normal. 0 - ArchivalUser - 06-04-2009 correction bs 150 2.when bs=250 ,lower insulin infusion pump rate----dont stop insulin .....start iv dextrose 5% at 80 ml/hr....balance insulin with dextrose to maintain BS of 150 or so. |