The plan of care for a patient in diabetic ketoacidosis, with a blood glucose level of 450 mg/dL, should include strategies for:
A) administration of short-acting subcutaneous insulin.
B) administration of long-acting subcutaneous insulin.
C) administration of oral hypoglycemic agents.
D) administration of intravenous short-acting insulin.
D) administration of intravenous short-acting insulin.
Explanation: A) The general treatment of DKA involves support measures to prevent cardiac, pulmonary, and neurologic decompensation; intravenous insulin therapy to reduce hyperglycemia and correct the acidosis; intravenous fluids correct the fluid volume deficits; and intravenous electrolyte replacements to correct electrolyte disturbances.
B) The general treatment of DKA involves support measures to prevent cardiac, pulmonary, and neurologic decompensation; intravenous insulin therapy to reduce hyperglycemia and correct the acidosis; intravenous fluids correct the fluid volume deficits; and intravenous electrolyte replacements to correct electrolyte disturbances.
C) The general treatment of DKA involves support measures to prevent cardiac, pulmonary, and neurologic decompensation; intravenous insulin therapy to reduce hyperglycemia and correct the acidosis; intravenous fluids correct the fluid volume deficits; and intravenous electrolyte replacements to correct electrolyte disturbances.
D) The general treatment of DKA involves support measures to prevent cardiac, pulmonary, and neurologic decompensation; intravenous insulin therapy to reduce hyperglycemia and correct the acidosis; intravenous fluids correct the fluid volume deficits; and intravenous electrolyte replacements to correct electrolyte disturbances.
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