cache
Forum Guru
Topics: 130
Posts: 275
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a known diabetic treated with 40 units of Insulin daily is found unconscious , urine soaks her clothes, and a clinitest is performed that shows Glucose++++, your initial management should be
a. normal saline IV
b. Insulin 50 units immed
c. glucose 50 ml IV
d. blood sugar sample
e. check blood glucose
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| son64
Forum Elite
Topics: 34
Posts: 245
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It is E
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| lucky
Forum Guru
Topics: 23
Posts: 505
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whats the difference between d and e?
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| tasneembanu
Forum Guru
Topics: 96
Posts: 545
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is it E?
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| usmleasr
Forum Guru
Topics: 105
Posts: 970
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A. case clinically looks like DKA....hydration is first step... :roll:
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| dimps
Forum Guru
Topics: 63
Posts: 446
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i will also go for a
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hi how r u
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| cache
Forum Guru
Topics: 130
Posts: 275
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DKA causes extremely high levels of blood sugar and can result in death if left untreated. Note: if a diabetic is unconscious, never give insulin; wait for blood sugar tests given by a health care professional. To give insulin mistakenly to an unconscious diabetic in shock could be fatal
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| Dot
Forum Senior
Topics: 1
Posts: 168
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Give normal saline till blood sugar level is 250mg% .Then add glucose to the hydration regime
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have fun
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| mdwannabe
Forum Guru
Topics: 37
Posts: 1,133
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HYDRATE first... NaCl
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