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Management of the DKA patient once stabilized


 - serum glucose qhr 
- if there is not a 10% drop in serum glucose after 2 hrs: 
- double Insulin dose qhr until a response occurs 
- after glucose falls below 250 mg/dl, begin D5W 
- avoid Hypoglycemia 
- bicarbonate if pH < 7.1; max < 100 mEq/hr; 
- check serum K+ qhr, anticipate hypokalemia
- as soon as Urine flow is adequate, add K to the infusion at a rate of 20 mEq/hr or less; begin sooner w/ severe hypokalemia
- faster rates may cause Hyper K & Cardiac arrest; 
- once there is good PO intake, restart usual Insulin