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CONTENTS evaluation DKA management [0] Evaluation for an underlying cause [1] Initial fluid resuscitation [2] Maintenance fluid infusion [3] Start insulin infusion [4] Basal insulin [5] Electrolyte & thiamine repletion [6] NAGMA therapy [7] Stop insulin infusion [8] Monitor for recurrent DKA special topics DKA in a hemodialysis patient Euglycemic DKA DKA with an insulin pump Intubating a DKA patient Cerebral edema IV access SQuID protocol (SQ only treatment) Recurrent DKA Discussion of pH management anion gap & evaluation of elevated anion gap anion gap & evaluation of elevated anion gap anion gap Anion Gap = (Na – Cl – Bicarbonate) Using this formula, an elevated anion gap is above 10-12 mEq/L

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Copper peptides GHK-Cu , Haloxyl, niacinamide , and Eyeliss demonstrate clinical evidence with 0.5-1% concentrations proving effective for delicate eye area

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