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  Fluid resuscitation clears ketones and other by-products of DKA. It also restores normal IV FLUIDS blood and corrects electrolyte imbalances   timesofamerica.info The patient’s serum sodium levels need to be checked to determine which type of fluid they need. INSULIN Insulin is the mainstay therapy for DKA. v It promotes cellular utilization of glucose, which immediately decreases blood ketone and glucose concentrations. Before giving insulin to DKA patients, however, you need to check the patient’s potassium levels because insuli timevinger.org n leads to intracellular shifts in potassium. Patients with DKA can have normal or elevate tincona.com d blood potassium even with decreased potassium stores. This is a result of osmotic diuresis and transcellular fluid shifts. If blood potassium levels are less than 3.3 mEq/L, you need to replete potassium before giving insulin therapy. The rate of insulin therapy will depend on patient age, the presence of ...

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