dka.......change of fluids question - rollerguy
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dka.......change of fluids question - rollerguy
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03-05-2007, 11:34 AM
guys i have this silly doubt.
when glucose reaches 250, we need to change the fluids right. do u change it d5 ns or d5 1/2 ns???? please reply asap. exam day after!!!!
03-05-2007, 01:13 PM
Hey,
You change it to D5 1/2 NS but make sure you add KCl (10-20mEq) as well! Hope that helps!
03-05-2007, 03:49 PM
oh yes. thanks.
but dont u start kcl right from the beginning???//
03-06-2007, 01:03 AM
U wud start KCl from the beginnning if Serum K+ was normal to begin with (usu in DKA, it shd be elevated... a normal value in a DKA patient wud infact imply an underlying hypokalemia). However, if the K+ value is elevated, then there is no need to start KCl from the beginning- u can do so once BSL is 250 or less.
03-06-2007, 01:14 AM
I would type D5 1/2 and KCL in the same order (even if K+ level is normal at present)
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