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7 Cards in this Set
- Front
- Back
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Diagnostic |
Glucose >11 Ketones >3 Acidosis |
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Corrected sodium |
Na+0.4(glucose - 5.5) |
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Anion gap |
(Na + k) - (cl - hco3) |
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Risk factors for xerebrsl oedema |
- age less than 2 - 40ml/kg in 4 hrs - Ph <7.1 at presentation - pco2 < 2kpa - rapid fall in serum glucose - naco3 therapy or raided urea - hyperventilation post intubation |
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When to commence insulin |
1 hr after fluids |
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Insulin uniots required |
0.05 - 0.1 |
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How to guide treatment |
Corrected sodium (in 4 - 8 hours) - fall >5 = too much fluid - reduce by 1ml/kg/hr - rise >5 = too little fluid- increase by 1ml/kg/hr Should see 3 - 5 increase in 12 hours |
