MICU intern's survival guide diabetic ketoacidosis: Difference between revisions
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==Step 3: Initial management== | ==Step 3: Initial management== | ||
===Management if the patient is in shock=== | ===Management if the patient is in shock=== | ||
* Attention to ABC. | |||
* Airway +/- NG tube | |||
* Breathing 100% oxygen | |||
* Circulation (10 ml/kg of .9% NS, replete until circulation restored, maximum 3 doses) | |||
===Management if dehydration > 5%, and patient acidotic=== | |||
===Management if dehydration < 5%, and patient non-acidotic=== | |||
==Step 4: Management== | ==Step 4: Management== | ||
Latest revision as of 16:51, 28 December 2012
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Diabetic ketoacidosis Microchapters |
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Overview
Step 1: Confirm the diagnosis of Diabetic ketoacidosis
History
Physical examination
- Assess for dehydration.
- Kussmaul's breathing (deep sighing respiration)
- Ketone breath
- Lethargy
- Drowsiness
Initial Laboratory works
- Blood glucose > 200mg/dL
- Acidosis pH < 7.3
- Ketone in blood and urine
- Blood electrolytes and urea
Step 2: Call senior staff
Step 3: Initial management
Management if the patient is in shock
- Attention to ABC.
- Airway +/- NG tube
- Breathing 100% oxygen
- Circulation (10 ml/kg of .9% NS, replete until circulation restored, maximum 3 doses)