DKA diagnosis
what is the most common cause of DKA in known diabetes?
missed insulin dosing
7.3
what does "triple bag therapy" mean?
insulin drip, dextrose fluids, non dextrose fluids
This is the type of short acting insulin used here at NCH
Lispro
DKA is caused by what type of deficiency in insulin?
relative and absolute
what breathing pattern is common at presentation?
what should the first step in resuscitation of DKA be?
20 mg/kg fluid bolus
this is the smallest closed system insulin pump
Mobi
what causes the dehydration in DKA?
glucosuria
true of false: you must have ketones to be in DKA
true
which electrolytes are depleted when managing DKA?
K+, phos
what does a dexcom read the glucose from?
interstitial fluid
this is the pathway that produces ketones.
lipolysis
true or false: a known diabetic that is feeling well has a pump malfunction. They do not need long acting subQ insulin.
false
children in DKA can be transitioned back to which type of insulin?
long acting subQ or short acting via insulin pump
how often should you correct for hyperglycemia for a patient on MDI?
every 3 hours
What are the three main biochemical components required for diagnosis?
Hyperglycemia, Ketosis, metabolic acidosis
what is the most concerning finding on physical exam for a patient in DKA?
altered mental status
what is the endocrinologist guidance on bicarb level for time of transition?
new onset- bicarb above 18 x2, known- 16 x2