Cliff Bevan

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A 12-year-old boy presented to a district hospital with diabetic ketoaci-dosis (DKA): pH, 6.97; base excess, 227.5 mmol/L; bicarbonate, 2.5 mmol/L; glucose 29 mmol/L. A urinalysis showed 41 ketones ($160 mg/dL). Standard DKA management according to U.K. guidelines was instituted (1). Fluid was replaced at maintenance plus 7.5% dehydration , with correction(More)
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