Ix and management plan for pt with diabetic ketoacidosis vs hyperglycemic coma associated with cardiac comorbidities like heart failure?? give ur valuable opinion...

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thank you sir

My pleasure dear Rini
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thnk u sir for a good explanation

U R most welcome dear Mahima
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The treatment protocol for DKA and hyperglycemic coma with out Ketones in the presence of HF, Heart failure remain more or less same. The principles of management. 1) Correction of Hyperglycemia With Regular Insulin. 2) Correction of Dehydration with NS 3) Correction of Electrolytes imbalance. Especially Potassium. Try to monitor IV fluids in the presence of HF, slow infusion under the cover of Diuretics like Torsemide, be careful again with Dyselectrolytemia. All the best.

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