DrVirgo
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What is the treatment for both and how do they vary??
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| doc_clotaire
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NSIM in DKA ?
1 ) Normal Saline + INSULIN
2 ) Replace K if normal or low but DO NOT give K if greater than 6 mEq/L
3 ) Do not usually give bicarbone for Board Purpuse !
4 ) Look for source of infections ( MC : UTI ....E.Coli )
NSIM of HONK ?
1 ) NORMAL SALINE
2 ) Insulin
3 ) Almost the same as above
The way I remember it on boards is :
DKA .................INSULIN , INSULIN , INSULIN , INSULIN + FLUIDS
HONK ...............FLUID , FLUID , FLUID , FLUID , FLUID + INSULIN
GL 
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| cirus
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bicarb administ is contraversial but UW says if the PH is>7.2 it should be given
don't forget to monitor the glucose level as it may drop to below normal with ketones still +ve or acidosis +ve so u should continue insulin but add glucose
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| DrVirgo
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Thanks. What does NSIM stand for?
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| doc_clotaire
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You are welcome
NSIM - Next Step In Management !
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