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Principles of insulin administration in a diabetic ketoacidosis patient

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Insulin administration is not as simple as – receive a DKA patient and start insulin right away. Potassium levels and osmolality are very important considerations. In light of these two factors following decisions are made:
* Decide to administer or delay the insulin
* Insulin dose
* Duration over which to administer the insulin
* The amount of glucose reduction per hour to avoid cerebral edema
Dr. Mobeen discusses these decision points and the insulin dosage per kilogram body weight with the given glucose and potassium levels.

A review of the DKA management approach:

Disclaimer:
This video is not intended to provide assessment, diagnosis, treatment, or medical advice; it also does not constitute provision of healthcare services. The content provided in this video is for informational and educational purposes only.
Please consult with a physician or healthcare professional regarding any medical or mental health related diagnosis or treatment. No information in this video should ever be considered as a substitute for advice from a healthcare professional. …
Disclaimer:
This video is not intended to provide assessment, diagnosis, treatment, or medical advice; it also does not constitute provision of healthcare services. The content provided in this video is for informational and educational purposes only.
Please consult with a physician or healthcare professional regarding any medical or mental health related diagnosis or treatment. No information in this video should ever be considered as a substitute for advice from a healthcare professional.

https://www.diabetic.live

24 comments

  1. S W

    Thank you so much
    You helped me understand my nursing practice in clearer and greater detail. I feel much better about administrating a dka protocol now that I have a better grasp on the concepts to why the protocol the way it is.

  2. Hamed Jamal

    what is your opinion?
    1. Giving IV insulin bolus may increase risk of cerebral edema and exacerbate hypokalemia.
    2. Does hypokalemia is due to sodium-potassium pump or because insulin has aldosterone-like effect which leads to increase potassium excretion?

    thank you

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