Exam questionKROK 2Medicine ยท 2015
A 23-year-old woman after stress has developed thirst, polydipsia, polyuria, weight loss, increasing fatigue. Later she developed nausea and somnolence, lost consciousness and was hospitalized. Glycemia is 27 mmol/l, acetone in urine is sharply positive. Treatment for ketoacidotic coma was initiated. When would it be advisable to start preventive treatment of hypoglycemia by introduction of 5% glucose solution?
Answer options
- If glycemia decreases with the rate over 5 mmol/l per hour
- 2 hours after beginning of insulinotherapy
- After glycemia rate drops to 13-14 mmol/l
- When patient becomes conscious
- After glycemia rate becomes normal
Correct answer
After glycemia rate drops to 13-14 mmol/l
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