Maintain between 4 and 5 If less than 5 give potassium.

GIVE 20 to 30 per L fluid

Ph needs to be <6.9

100mmol of NaHCO2 in 400 ml sterile water with 20meQ KCl

Repeat every 2 hours until pH >7

Exclude hypokalemia

1.Can give 0.15U/kg IV x 1 bolus followed by continuous 0.1 units/kg continuous infusion

(avg. 5 to 7 U/hr)

2. Can give straight out 0.14U/kg continous

Will see a drop of 50 to 100