Treatment of diabetic ketoacidosis.
Diabetic ketoacidosis can be effectively treated by using a few properly selected tests and more physiologic administration of insulin and intravenous fluids. Insulin is given by intravenous drip at an initial rate of about 0.1 u per kg per hour. The initial hydrating fluid is 5 percent glucose in 0.45 percent saline plus 40 mEq of potassium chloride or buffered potassium phosphate, given at a rate of 250 mL per hour. Arterial blood gas measurements are not needed.
Moss
J M
JM
Georgetown University School of Medicine, Washington, D.C.
D001424:Bacterial Infections / Q000150:complications; D001639:Bicarbonates / Q000009:adverse effects; D016883:Diabetic Ketoacidosis / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D003927:Diet, Diabetic; D006801:Humans; D007328:Insulin / Q000008:administration & dosage / Q000627:therapeutic use*; D010710:Phosphates / Q000008:administration & dosage / Q000097:blood; D011188:Potassium / Q000008:administration & dosage / Q000097:blood; D012964:Sodium / Q000009:adverse effects; D017693:Sodium Bicarbonate; D012965:Sodium Chloride / Q000008:administration & dosage
D001639:Bicarbonates; D007328:Insulin; D010710:Phosphates; D012965:Sodium Chloride; D017693:Sodium Bicarbonate; D012964:Sodium; D011188:Potassium