During DKA treatment, how often should glucose be checked?

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Prepare for the Mark Klimek Electrolytes and Endocrine Test. Utilize flashcards, multiple choice questions, and detailed explanations for each query to enhance your understanding. Ace your exam!

Multiple Choice

During DKA treatment, how often should glucose be checked?

Explanation:
Glucose must be checked hourly during IV insulin therapy in DKA because insulin and aggressive fluid management can cause rapid and significant changes in blood sugar. Close, every-hour monitoring lets you titrate the insulin dose precisely, prevent hypoglycemia, and keep glucose in a safe range (often around 150–200 mg/dL) while ketosis resolves. When glucose approaches around 200 mg/dL, you switch to dextrose-containing fluids and continue hourly checks until stabilization. Less frequent monitoring could miss dangerous drops or delays in adjusting the treatment, increasing risk to the patient.

Glucose must be checked hourly during IV insulin therapy in DKA because insulin and aggressive fluid management can cause rapid and significant changes in blood sugar. Close, every-hour monitoring lets you titrate the insulin dose precisely, prevent hypoglycemia, and keep glucose in a safe range (often around 150–200 mg/dL) while ketosis resolves. When glucose approaches around 200 mg/dL, you switch to dextrose-containing fluids and continue hourly checks until stabilization. Less frequent monitoring could miss dangerous drops or delays in adjusting the treatment, increasing risk to the patient.

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