By vgreene, 20 February, 2018 Regular insulin: 0.1 unit/kg bolus, then 0.1 unit/kg/h drip (alt: skip bolus, 0.14 unit/kg/h infusion)
By vgreene, 20 February, 2018 For DKA,1 replace fluids; manage K+; start insulin drip; monitor BG, labs
By vgreene, 20 February, 2018 Labs: ✓basic lytes, serum osmolality and venous/arterial pH q2-4h (✓lytes q2h if K+ being replaced)
By vgreene, 20 February, 2018 Fluids: normal saline 1L/h x1-3h,2 then NS or ½ NS (base2 on corrected Na+ 3) at 250-500 cc/h. Once BG reaches 200 mg/dL: Switch to ½ NS w/ 5%-10% dextrose @150-250 cc/h
By vgreene, 20 February, 2018 For DKA,1 replace fluids; manage K+; start insulin drip; monitor BG, labs
By vgreene, 20 February, 2018 Fluids: normal saline 1L/h x1-3h,2 then NS or ½NS (base2 on corrected Na+ 3) at 250-500 cc/h. Once BG reaches 200 mg/dL: switch to ½NS w/ 5%-10% dextrose @150-250 cc/h
