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Management of a Patient Presenting with Diabetic Ketoacidosis

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Dec 07 2020, 8:23 pm

If pt is severely dehydrated but pt is k/c/o LV dysfunction 

lvef is 25% 

in this scenario how we deal with fluid..??



Oct 01 2020, 6:33 am

video is cut after mucus membrane discussion 8:13....

This lecture presents the management approach for the patients presenting with diabetic Ketoacidosis.
Following management methods and the principles behind the management are explained:
 Volume replenishment, volume types, the reason for choosing various types, benefits of the volume replenishment, and the complications of aggressive volume replenishment.
 Insulin administration. Caution for insulin administration when potassium levels are low. The amount of insulin to administer and the rate of fall of glucose levels. 
 Why do insulin and glucose need to continue even after a good glucose level has been established?
 What to expect in terms of potassium levels? How to manage potassium? How to correlated potassium levels to insulin and volume?
 What labs and signs and symptoms to monitor and how to adjust when ref-flags show up?
 How to approach bicarb deficiency?

In this video we will explain:

1. Volume replenishment,benefits of volume replenishment and complications of aggressive volume replenishment.

2. Insulin administration protocols and rate of fall of glucose levels.

3. Management of potassium levels and correlation with insulin and volume.

4. Continuation of insulin after desired blood glucose levels.

5. Labs and signs and symptoms to monitor.

6. Management of bicarbonate deficiency.

Presented by Dr. Mobeen Syed

Following answers are created by ChatGPT. Occasionally the answer may be harmful, incorrect, false, misleading, incomplete, or limited in knowledge of world. Please contact your doctor for all healthcare decisions. Also, double check the answer provided by the AI below.

Author declares no conflict of interest.

In addition to the presenter, following authors who may have helped with the content writing, review, or approval declare no conflict of interest.

  • Dr. Mobeen Syed
  • Dr. Pei Purdom (DNP)
  • Dr. Benish Zahra
  • Dr. Iqra Batool
  • Dr. Heba Alzawahri

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