الحماض الكيتوني السكري: ماذا تفعل عندما يفشل ضخ الأنسولين القياسي في تحقيق الأهداف الأيضية

References

• If blood ketone measurement is available and blood ketones are not falling by at least 0.5 mmol/L/hr, call a prescribing clinician to increase the insulin infusion rate by 1.0 unit/hr increments hourly until the ketones are falling at target rates (also check infusion).
• If equipment working but response to treatment is inadequate, increase insulin infusion rate by 1 unit/hr increments hourly until targets achieved.
• Reduction of the blood ketone concentration by 0.5 mmol/L/hour.
• Increase the venous bicarbonate by 3.0 mmol/L/hour.
• Reduce capillary blood glucose by 3.0 mmol/L/hour.