03-13-2008, 08:34 AM
Why in non ketotic hyerglycemic coma we will give 0.45% saline, after pt reach in euglycemic state???
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non ketototic why???? - aryan79
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03-13-2008, 08:39 AM
its hyperosmolar......so u first give ns .......then replace with .45%nacl...
there is inc glucose>1000 so u have to get it to normal...then there is inc na also seen so u slowly replace fluids instead of abruptly correctly sodium corrct me if i m wrong
03-13-2008, 08:48 AM
so initially we will neutralize the electrolyte then 45p nacl . right . now when we will use potassium and 0.5 % and which pt ? why??
03-13-2008, 08:53 AM
after .45 u look out for glucose ...if it falls replace it with admin of insulin ....with insul k is taken care off....
03-13-2008, 09:01 AM
5% given to prevent cerebral edema, after given insulin when glucose less then 250mg.
potassium is given in all cases no matter its up or down , can couse arrythmia . |
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