A 19-year-old female presented to the Emergency room. She is known type I diabetic and came in coma. You diagnosed her with Diabetic ketoacidosis. You have admitted the patient to the Intensive care unit and started an Intravenous fluids with Insulin infusion and are ordered to check the blood glucose Sodium, Potassium, Bicarbonate, Chloride and Anion Gap every hour for the first 6 hours then every 2 hours. What else you need to monitor?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Blood pH
During DKA treatment you follow glucose, electrolytes and the anion gap, and you also monitor blood pH (ABG) to track the acidosis and decide whether bicarbonate is needed (pH < 7). Hourly LFTs and hourly phosphorus are not part of routine DKA monitoring. Urine ketones lag behind the clinical picture.
ليش كل خيار صح أو غلط
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A
ليش صح
DKA monitoring includes the pH, to see whether it falls below 7, which is the indication for bicarbonate.
✓ 11• Diabetes Mellitus [Notes].pdf · p. 11 -
E
ليش غلط
Nitroprusside ketone tests detect only acetoacetate, so serum and urine can be falsely negative for ketones in DKA (e.g. with circulatory collapse), which makes urine ketones an unreliable guide.
✓ Step Up To Medicine 6th Edition 2024 (DM).pdf · p. 16
- المصدر
- 11• Diabetes Mellitus [Notes].pdf · p. 11
Diabetes mellitus overall Copy.pdf · p. 12 - المحاضرة
- DKA & HHS · Endocrinology · Module B
- ظهر في
- Endo bank