Essential Facts on the Go: Internal Medicine (26 page)

– Continue NS

If Na > 145

– 1/2 normal saline

Insulin

Serum glucose will lower with IVFs

If it remains elevated (FS > 300)

Insulin GTT 0.1 units/kg/hr

Once the patient can eat, switch to SQ insulin as outlined above

Monitor electrolytes

Hypokalemia

Increasing distal nephron flow with IVF

Intracellular shift from insulin

If < 3.5 supplement

VI_2_a
Hypothyroidism

VI_2_b
Hyperthyroidism

VI_3_a
Oral Diabetes Medications