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Diabetic Ketoacidosis; Roadside to Resus

The Resus Room

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The Benefits of Normal Saline for Hypokalemia

If the systolic blood pressure is below 90 then you should give 500 mils of normal saline over 10 to 15 minutes and repeat if necessary. Once that blood pressure is adequate then 0.9% saline should be given an IV rate that replaces the deficit and provides maintenance. The most we can normally give easily is in those 40 minimoles bags of normal saline. So essentially it's an initial load and then it decreases off to more like a maintenance fluid status.

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