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Diabetes- DKA &HHS Questions With Complete Solutions
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Diabetes- DKA &HHS Questions With Complete SolutionsAfter 1 hr, the patient's BG is 375mg/dL. What adjustments
would you make to the insulin regimen? Correct Answer Give
5 units in 30 mins.
Reasoning: Double rate of infusion if glucose is not decreasing
by 50-75mg/dL/hr
After 4 hours, the patient's BG is 225mg/dL. What changes
would you make to the patient's insulin regimen? Correct
Answer Give 2 units/hr
Reasoning: When glucose reaches goal of 200-250 mg/dL,
decrease insulin rate to 0.05units/kg/hr
Diabetic Ketoacidosis Correct Answer a dangerous
complication of diabetes mellitus in which the chemical balance
of the body becomes far too acidic
Glucose should not drop more than______ mg/dL/hr? Correct
Answer 100
How much fluid would you give a child to treat DKA? Correct
Answer 10-20ml/kg in first hour
If no urination, continue 20ml/kg during 2nd and 3rd hours
How quickly should you rehydrate the patient with HHS?
Correct Answer Give half of fluid deficit over the first 12 hours
and the 2nd half in the next 12 hours.
, Glucose levels should drop 80-200md/dL per hour
How would you counsel patient when they are sick? Correct
Answer 1. Drink 8oz of fluid every hour & every 3 hr drink
sodium-rich choice
2. Test every 2-4 hours while BG is elevated or until symptoms
subside
3. Continue to take. Hold metformin if serious illness
4. Eat 150-200g of carbs daily
5. Contact MD if vomiting >1, diarrhea >5 or longer than 6
hours, BG> 300 on 2 consecutive readings and not responding to
insulin, ketones >0.6mmol/L
How would you prevent and treat cerebral edema? Correct
Answer -Assess mental status (headache, lethargy) every 1-2
hrs
- avoid rapid drops in bg
Treat with mannitol or high dose dexamethasome
What are the 6 treatment goals for DKA? Correct Answer 1.
Rehydrate with fluids
2. Give insulin to restore and maintain normal glucose
metabolism
3. Correct electrolyte deficits and acidosis if needed
4. Give glucose when needed
5. Prevent complications
6. Counsel patient and family for future prevention
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