How to treat ckd pt present with DKA


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Chronic kidney disease patients are at risk of fluid overload Diabetic ketoacidosis patients are dehydrated and require fluid supplements in form of normal saline This is catch 22 situation Adv Insulin infusion to treat hyperglycaemia Central venous pressure monitoring and fluid according to CVP, to avoid fluid overload Other methods of monitoring fluid responsiveness is pulse pressure variability, inferior Vena Cava diameter and collapsibility, left ventricular ejection fraction
Identifying the disease

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