What is the most appropriate management of diabetic ketoacidosis?
In DKA we give Regular Insulin so Option C & Option D ruled out DKA : - Associated with insulinopenia (values of insulin in the blood reduced) - Patients suffering from DKA d/t deficiency of insulin, there will be K+ efflux from cells and | K+ in blood. -Regular Insulin drip IV given leads to K+ influx l/t | K+ in blood - Therefore, complication of DKA t/t is diaphragmatic paralysis so KCl is added to IV fluids with Insulin to avoid hypokalemia.
500ml of 0.9% Saline over 15 minutes and a fixed rate insulin infusion
500ml of 0.9% Saline over 15 minutes with potassium chloride and a fixed rate insulin infusion
500ml of 0.9% Saline over 30 minutes with potassium chloride and a rapid acting subcutaneous insulin injection
500ml of 0.9% Saline over 30 minutes and a rapid acting subcutaneous insulin injection
Diabetes Mellitus