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As the term DKA indicates plasma or urine ketones must also be present. Ketones are weak acids and when they accumulate the blood pH drops to an average of 7.15. The normal blood pH range is from 7.35 to 7.45. As the pH falls the plasma bicarbonate level drops as it tries to buffer the acids and restore a normal blood pH.
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If using a BC shielded IV catheter the line should be flushed with a saline or heparin solution after each sample is taken to ensure patency of the line. After the 120 minute time point the test is concluded and the blood samples should be processed as required and sent to the lab for analysis.The glucose tolerance test is given to
In a hospital setting an IV infusion or bolus of 50 dextrose may be given. Be careful when giving IV 50 dextrose because it is thick and can cause phlebitis or tissue necrosis.For their protection all patients who have diabetes should be taught the symptoms of hypoglycemia.
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