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Flashcards in diabetes management Deck (10)
1

basal insulin for a well patient

0.5 - 1.0u

2

TDD for well controlled patient

0.4 - 0.6 u/kg/day

3

TDD for pt with mult risk factors

0.3 - 0.4 u/kg/day

4

TDD for pt w insulin drip w nutrition

gtt hrly rate x 20

5

how to add insulin to oral agent

PO same dose
insulin: single dose, evening
DM2: 0.2 - 0.6 u/kg
non-DM2 hypergly: 0.1 - 0.3 u/kg or 10u basal

6

non-critically ill goal fasting & random BG

fasting: lt 140
random: lt 180

7

critically ill patient basal insulin req

0.01 u/kg/hr

target: 140 - 180 mg/dL

8

hypoglycemia mgmt x3

1. 15 - 20g glucose (any form of CHO)
2. repeat in 15" if s/s continue
3. follow w slow absorbing CHO

9

DKA lab findings

- metabolic acidosis
- anion gap 15+
- bicarb lt 15
- hyperglycemia

10

DKA clinical presentation

kussmaul respirations
fruity breath
hypotension