In my textbook, about DKA and its treatment:
"because fluid imbalance is potentially life threatening, the initial goal of therapy is to establish intravenous access and begin fluid and electrolyte replacement. Typically the initial fluid therapy regimen comprises an infusion of dextrose 3.3 percent and sodium chloride 0.3 percent
(2/3 and 1/3) IV solution premixed with a specified amount of potassium (KCL) at a rate to restore urine output to 30 to 60 mL/hr and to raise blood pressure. When blood glucose levels approach 14 mmol/L, 5 percent dextrose is added to the fluid regiment or prevent hypoglycemia"
but on the next page - about Emergency Mangement of DKA:
"begin fluid resuscitation with
0.9 % NaCl solution until BP stabilized and urine output 30 to 60 mL/hr"
Is NaCl or 2/3 and 1/3 used to start fluid resuscitation?
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