Diabetic ketoacidosis (DKA): Management


  • Normal saline infusion (0.9%)
  • Insulin
  • K (potassium replacement)
  • Antibiotics (in case of infections)
  • H (bicarbonate infusion in severe acidosis)

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imageNormal saline infusion is done to overcome extracellular fluid deficit. If plasma Na+ is more than 155 mmol/L, 0.45% NS can be given instead of 0.9% NS.
imageIntracellular fluid deficit is corrected with 5% or 10% dextrose.

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