Accepted at 7:44 a.m. Jun, 29, 2024 by Ahmed7
Author: doc3g
Co-authors: Ahmed7
Related Note: 1552260881200 1
Rationale for change

Uworld QID 5344 notes that: "Because there is a slight delay in the absorption of insulin when it is given SQ, the insulin infusion should be continued for 1-2 hours after the administration of SQ insulin.  This bridging process ensures sufficient time for SQ insulin to take effect and prevents rebound ketoacidosis"

Knowledge of this "bridging" protocol is necessary to correctly answer the Q that this card is tagged for.

Extra Extra
Text
What is the treatment regimen for diabetic ketoacidosis?

- Prophylactic {{c1::potassium}}, IV {{c1::insulin}}, and IV {{c1::fluids}}
- Once anion gap closes: {{c2::subQ insulin}}
- Once blood glucose reaches 200-250 mg/dL: {{c3::D5W}}
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Sketchy 2


Watch Acute Diabetes Complications SOAP








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Bootcamp
Watch associated Bootcamp video - Ketones: Ketoacidosis Review and Ketogenolysis
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