Patient T., 26 y/o, is in the intensive care unit with a ketoacidotic coma. Her consciousness is clouded, eye ball tone is lowered, arterial pressure - 90/60, pulse - 130 beats/minute, glycemia -35 mmol/l, PH - 7.1. The content of ketone bodies is 18 mg %. How would you manage this patients? A. Introducing 10-20 units of insulin at first by stream infusion and then by drip infusion during 1 hour by 0.05-0.1 units/kg/hour till the termination of ketoacidosisB. Introducing 500ml 5% glucose solutionC. Introducing 4% sodium carbonate 2.5 ml/kgD. Introducing 40 – 60 units of insulin hourlyE. Introducing 500 ml 0.9% sodium chloride

Principles Of Pharmacology Med Assist
6th Edition
ISBN:9781337512442
Author:RICE
Publisher:RICE
Chapter26: Medications Used In Treatment Of Endocrine Disorders
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Patient T., 26 y/o, is in the intensive care unit with a ketoacidotic coma. Her consciousness is clouded, eye ball tone is lowered, arterial pressure - 90/60, pulse - 130 beats/minute, glycemia -35 mmol/l, PH - 7.1. The content of ketone bodies is 18 mg %. How would you manage this
patients?

A. Introducing 10-20 units of insulin at first by stream infusion and then by drip infusion during
1 hour by 0.05-0.1 units/kg/hour till the termination of ketoacidosis
B. Introducing 500ml 5% glucose solution
C. Introducing 4% sodium carbonate 2.5 ml/kg
D. Introducing 40 – 60 units of insulin hourly
E. Introducing 500 ml 0.9% sodium chloride

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