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Acute Emergencies of Diabetes - DKA

Total questions: 6

Worksheet time: 12mins

Name
Class
Date
1.

What are the diagnostic criteria for DKA?

a)

Blood glucose > 11 mmol/L, Ketones > 3 mmol/L, pH < 7.3

b)

Blood glucose > 33.3 mmol/L, Ketones > 3 mmol/L, pH < 7.3

c)

Blood glucose > 11 mmol/L, Ketones < 3 mmol/L, pH < 7.3

d)

Blood glucose > 33.3 mmol/L, Ketones < 3 mmol/L, pH < 7.3

2.

Whilst examining the patient, you have noticed an abnormal breathing pattern. Which of the following is associated with DKA?

a)

Biot’s respiration

b)

Kussmaul breathing

c)

Cheyne-Stokes breathing

d)

Apneustic

3.

Which of the following is not considered part of the investigation for DKA?

a)

ABG

b)

Urinalysis

c)

PT

d)

Urea and electrolytes

4.

The ketone levels in the urine have shown to be strongly positive. Which of the following does the urine dipstick detect?

a)

Acetoacetate

b)

Beta-hydroxybutyrate

c)

Acetone

d)

A+B

5.

Which of the following is considered an appropriate first step when managing a patient with DKA and a blood pressure of 104/65 mmHg?

a)

Administration of IV Insulin (0.1 units/kg/hour)

b)

Correction of potassium with 40 mmol/L KCL

c)

Administration of 500 mL 0.9% sodium chloride / 15 minutes

d)

Administration of 1 L 0.9% sodium chloride / 2 hours

6.

At what level would consider replacing potassium with 40 ml potassium chloride?

a)

> 5.0

b)

> 4.5

c)

< 6.5

d)

< 5.5