{"id":888,"date":"2026-03-14T21:46:26","date_gmt":"2026-03-14T17:46:26","guid":{"rendered":"https:\/\/icu.ge\/?page_id=888"},"modified":"2026-03-14T21:50:05","modified_gmt":"2026-03-14T17:50:05","slug":"pdka","status":"publish","type":"page","link":"https:\/\/icu.ge\/?page_id=888","title":{"rendered":"PDKA"},"content":{"rendered":"\n<div id=\"dka-calc-container\">\n  <h2 class=\"dka-title\">\u10de\u10d4\u10d3\u10d8\u10d0\u10e2\u10e0\u10d8\u10e3\u10da\u10d8 DKA \u10d9\u10d0\u10da\u10d9\u10e3\u10da\u10d0\u10e2\u10dd\u10e0\u10d8<\/h2>\n  <p class=\"dka-disclaimer\"><strong>\u10e7\u10e3\u10e0\u10d0\u10d3\u10e6\u10d4\u10d1\u10d0:<\/strong> \u10d9\u10d0\u10da\u10d9\u10e3\u10da\u10d0\u10e2\u10dd\u10e0\u10d8 \u10d2\u10d0\u10dc\u10d9\u10e3\u10d7\u10d5\u10dc\u10d8\u10da\u10d8\u10d0 \u10db\u10ee\u10dd\u10da\u10dd\u10d3 \u10e1\u10d0\u10db\u10d4\u10d3\u10d8\u10ea\u10d8\u10dc\u10dd \u10de\u10d4\u10e0\u10e1\u10dd\u10dc\u10d0\u10da\u10d8\u10e1\u10d7\u10d5\u10d8\u10e1. \u10e8\u10d4\u10d3\u10d4\u10d2\u10d4\u10d1\u10d8 \u10d2\u10d0\u10db\u10dd\u10d8\u10e7\u10d4\u10dc\u10d4\u10d7 \u10d9\u10da\u10d8\u10dc\u10d8\u10d9\u10e3\u10e0 \u10d9\u10dd\u10dc\u10e2\u10d4\u10e5\u10e1\u10e2\u10e8\u10d8 \u10d3\u10d0 \u10d0\u10e0\u10d0 \u10d3\u10d0\u10db\u10dd\u10e3\u10d9\u10d8\u10d3\u10d4\u10d1\u10d4\u10da \u10d2\u10d0\u10d3\u10d0\u10ec\u10e7\u10d5\u10d4\u10e2\u10d8\u10da\u10d4\u10d1\u10d0\u10d3.<\/p>\n\n  <div class=\"dka-grid\">\n    <div class=\"dka-input-group\">\n      <label for=\"dka-weight\">\u10d1\u10d0\u10d5\u10e8\u10d5\u10d8\u10e1 \u10ec\u10dd\u10dc\u10d0 (\u10d9\u10d2)<\/label>\n      <input type=\"number\" id=\"dka-weight\" placeholder=\"\u10db\u10d0\u10d2. 18.5\" min=\"1\" max=\"150\" step=\"0.1\">\n    <\/div>\n\n    <div class=\"dka-input-group\">\n      <label for=\"dka-severity\">DKA-\u10e1 \u10e1\u10d8\u10db\u10eb\u10d8\u10db\u10d4 \/ \u10d3\u10d4\u10f0\u10d8\u10d3\u10e0\u10d0\u10e2\u10d0\u10ea\u10d8\u10d8\u10e1 \u10d5\u10d0\u10e0\u10d0\u10e3\u10d3\u10d8<\/label>\n      <select id=\"dka-severity\">\n        <option value=\"mild\">\u10db\u10e1\u10e3\u10d1\u10e3\u10e5\u10d8 \/ 6%<\/option>\n        <option value=\"moderate\" selected>\u10e1\u10d0\u10e8\u10e3\u10d0\u10da\u10dd \/ 6%<\/option>\n        <option value=\"severe\">\u10db\u10eb\u10d8\u10db\u10d4, \u10d0\u10ee\u10d0\u10da\u10d8 \u10d3\u10d8\u10d0\u10d1\u10d4\u10e2\u10d8 \u10d0\u10dc BUN &gt;20 \/ 8%<\/option>\n      <\/select>\n    <\/div>\n\n    <div class=\"dka-input-group\">\n      <label for=\"dka-bag-size\">\u10e1\u10d0\u10db\u10e3\u10e8\u10d0\u10dd \u10d1\u10d4\u10d2\u10d8\u10e1 \u10db\u10dd\u10ea\u10e3\u10da\u10dd\u10d1\u10d0<\/label>\n      <select id=\"dka-bag-size\">\n        <option value=\"250\">250 \u10db\u10da<\/option>\n        <option value=\"500\" selected>500 \u10db\u10da<\/option>\n        <option value=\"1000\">1000 \u10db\u10da<\/option>\n      <\/select>\n    <\/div>\n\n    <div class=\"dka-input-group\">\n      <label for=\"dka-bolus-type\">\u10e1\u10d0\u10ec\u10e7\u10d8\u10e1\u10d8 \u10d1\u10dd\u10da\u10e3\u10e1\u10d8<\/label>\n      <select id=\"dka-bolus-type\">\n        <option value=\"auto\" selected>\u10d0\u10d5\u10e2\u10dd\u10db\u10d0\u10e2\u10e3\u10e0\u10d0\u10d3 \u10e1\u10d8\u10db\u10eb\u10d8\u10db\u10d8\u10e1 \u10db\u10d8\u10ee\u10d4\u10d3\u10d5\u10d8\u10d7<\/option>\n        <option value=\"10\">10 \u10db\u10da\/\u10d9\u10d2<\/option>\n        <option value=\"20\">20 \u10db\u10da\/\u10d9\u10d2<\/option>\n      <\/select>\n    <\/div>\n\n    <div class=\"dka-input-group\">\n      <label for=\"dka-glucose\">\u10d2\u10da\u10e3\u10d9\u10dd\u10d6\u10d0 (mg\/dL, \u10e1\u10e3\u10e0\u10d5\u10d8\u10da\u10d8\u10e1\u10d0\u10db\u10d4\u10d1\u10e0)<\/label>\n      <input type=\"number\" id=\"dka-glucose\" placeholder=\"\u10db\u10d0\u10d2. 480\" min=\"0\" step=\"1\">\n    <\/div>\n\n    <div class=\"dka-input-group\">\n      <label for=\"dka-na\">\u10d2\u10d0\u10d6\u10dd\u10db\u10d8\u10da\u10d8 Na (mmol\/L, \u10e1\u10e3\u10e0\u10d5\u10d8\u10da\u10d8\u10e1\u10d0\u10db\u10d4\u10d1\u10e0)<\/label>\n      <input type=\"number\" id=\"dka-na\" placeholder=\"\u10db\u10d0\u10d2. 132\" min=\"0\" step=\"0.1\">\n    <\/div>\n\n    <div class=\"dka-input-group\">\n      <label for=\"dka-cl\">Cl (mmol\/L, \u10e1\u10e3\u10e0\u10d5\u10d8\u10da\u10d8\u10e1\u10d0\u10db\u10d4\u10d1\u10e0)<\/label>\n      <input type=\"number\" id=\"dka-cl\" placeholder=\"\u10db\u10d0\u10d2. 102\" min=\"0\" step=\"0.1\">\n    <\/div>\n\n    <div class=\"dka-input-group\">\n      <label for=\"dka-hco3\">HCO3 (mmol\/L, \u10e1\u10e3\u10e0\u10d5\u10d8\u10da\u10d8\u10e1\u10d0\u10db\u10d4\u10d1\u10e0)<\/label>\n      <input type=\"number\" id=\"dka-hco3\" placeholder=\"\u10db\u10d0\u10d2. 8\" min=\"0\" step=\"0.1\">\n    <\/div>\n  <\/div>\n\n  <div class=\"dka-actions\">\n    <button id=\"dka-calculate-btn\" onclick=\"calculateDKA()\">\u10d2\u10d0\u10db\u10dd\u10d7\u10d5\u10da\u10d0<\/button>\n    <button id=\"dka-copy-btn\" onclick=\"copyDKAPlan()\">\u10d2\u10d4\u10d2\u10db\u10d8\u10e1 \u10d9\u10dd\u10de\u10d8\u10e0\u10d4\u10d1\u10d0<\/button>\n    <button id=\"dka-print-btn\" onclick=\"window.print()\">\u10d1\u10d4\u10ed\u10d3\u10d5\u10d0<\/button>\n  <\/div>\n\n  <div id=\"dka-results\" class=\"dka-results\" style=\"display:none;\">\n    <h3>\u10db\u10d9\u10e3\u10e0\u10dc\u10d0\u10da\u10dd\u10d1\u10d8\u10e1 \u10d2\u10d4\u10d2\u10db\u10d0<\/h3>\n\n    <div class=\"dka-result-item\">\n      <strong>1. \u10e1\u10d0\u10ec\u10e7\u10d8\u10e1\u10d8 \u10d1\u10dd\u10da\u10e3\u10e1\u10d8 &#8211; Sol. NaCl 0.9%<\/strong>\n      <div class=\"dka-main-result\"><span id=\"res-bolus\"><\/span><\/div>\n      <div class=\"dka-note\">\u10e8\u10d4\u10d8\u10e7\u10d5\u10d0\u10dc\u10d4\u10d7 20 &#8211; 30 \u10ec\u10e3\u10d7\u10e8\u10d8. \u10e8\u10dd\u10d9\u10d8\u10e1\u10d0\u10e1 \u10e1\u10d0\u10ed\u10d8\u10e0\u10dd\u10d4\u10d1\u10d8\u10e1\u10d0\u10db\u10d4\u10d1\u10e0 \u10d2\u10d0\u10d8\u10db\u10d4\u10dd\u10e0\u10d4\u10d7.<\/div>\n    <\/div>\n\n    <div class=\"dka-result-item\">\n      <strong>2. 36-\u10e1\u10d0\u10d0\u10d7\u10d8\u10d0\u10dc\u10d8 \u10de\u10e0\u10d0\u10e5\u10e2\u10d8\u10d9\u10e3\u10da\u10d8 \u10e1\u10e5\u10d4\u10db\u10d8\u10d7 \u10e1\u10d0\u10d4\u10e0\u10d7\u10dd \u10e1\u10d0\u10d0\u10d7\u10dd\u10d1\u10e0\u10d8\u10d5\u10d8 \u10e1\u10d8\u10e9\u10e5\u10d0\u10e0\u10d4<\/strong>\n      <div class=\"dka-main-result\"><span id=\"res-rate36\"><\/span><\/div>\n      <div class=\"dka-note\">\u10d4\u10e1 \u10e1\u10d8\u10e9\u10e5\u10d0\u10e0\u10d4 \u10d0\u10d4\u10e0\u10d7\u10d8\u10d0\u10dc\u10d4\u10d1\u10e1 \u10e8\u10d4\u10db\u10d0\u10dc\u10d0\u10e0\u10e9\u10e3\u10dc\u10d4\u10d1\u10d4\u10da \u10e1\u10d8\u10d7\u10ee\u10d4\u10e1 \u10d3\u10d0 \u10d3\u10d4\u10e4\u10d8\u10ea\u10d8\u10e2\u10d8\u10e1 \u10e9\u10d0\u10dc\u10d0\u10ea\u10d5\u10da\u10d4\u10d1\u10d0\u10e1.<\/div>\n    <\/div>\n\n    <div class=\"dka-result-item\">\n      <strong>3. \u10d0\u10da\u10e2\u10d4\u10e0\u10dc\u10d0\u10e2\u10d8\u10e3\u10da\u10d8 \u10d6\u10e3\u10e1\u10e2\u10d8 \u10d2\u10d0\u10db\u10dd\u10d7\u10d5\u10da\u10d0<\/strong>\n      <div>\u10e1\u10d8\u10d7\u10ee\u10d8\u10e1 \u10ef\u10d0\u10db\u10e3\u10e0\u10d8 \u10d3\u10d4\u10e4\u10d8\u10ea\u10d8\u10e2\u10d8: <span id=\"res-deficit\"><\/span><\/div>\n      <div>\u10dc\u10d0\u10e0\u10e9\u10d4\u10dc\u10d8 \u10d3\u10d4\u10e4\u10d8\u10ea\u10d8\u10e2\u10d8 \u10d1\u10dd\u10da\u10e3\u10e1\u10d8\u10e1 \u10e8\u10d4\u10db\u10d3\u10d4\u10d2: <span id=\"res-remain\"><\/span><\/div>\n      <div>\u10e8\u10d4\u10db\u10d0\u10dc\u10d0\u10e0\u10e9\u10e3\u10dc\u10d4\u10d1\u10d4\u10da\u10d8 \u10e1\u10d8\u10d7\u10ee\u10d8\u10e1 \u10e1\u10d0\u10d0\u10d7\u10dd\u10d1\u10e0\u10d8\u10d5\u10d8 \u10e1\u10d8\u10e9\u10e5\u10d0\u10e0\u10d4: <span id=\"res-maint\"><\/span><\/div>\n      <div>\u10ef\u10d0\u10db\u10e3\u10e0\u10d8 \u10e1\u10d0\u10d0\u10d7\u10dd\u10d1\u10e0\u10d8\u10d5\u10d8 \u10e1\u10d8\u10e9\u10e5\u10d0\u10e0\u10d4: <span id=\"res-hourlyExact\"><\/span><\/div>\n    <\/div>\n\n    <div class=\"dka-result-item\">\n      <strong>4. Actrapid-\u10d8\u10e1 \u10d8\u10dc\u10e4\u10e3\u10d6\u10d8\u10d0<\/strong>\n      <div>0.1 \u10d4\u10e0\u10d7\u10d4\u10e3\u10da\u10d8\/\u10d9\u10d2\/\u10e1\u10d7: <span id=\"res-insulin01\" class=\"highlight\"><\/span><\/div>\n      <div>0.05 \u10d4\u10e0\u10d7\u10d4\u10e3\u10da\u10d8\/\u10d9\u10d2\/\u10e1\u10d7: <span id=\"res-insulin005\"><\/span><\/div>\n      <div class=\"dka-note\">\u10d2\u10d0\u10dc\u10d6\u10d0\u10d5\u10d4\u10d1\u10d0: 50 \u10d4\u10e0\u10d7\u10d4\u10e3\u10da\u10d8 Actrapid + 50 \u10db\u10da NaCl 0.9% &#8211; \u10e1\u10d0\u10d1\u10dd\u10da\u10dd\u10dd\u10d3 1 \u10db\u10da = 1 \u10d4\u10e0\u10d7\u10d4\u10e3\u10da\u10d8. \u10d3\u10d0\u10d8\u10ec\u10e7\u10d4\u10d7 \u10db\u10ee\u10dd\u10da\u10dd\u10d3 \u10e1\u10d8\u10d7\u10ee\u10d8\u10e1 \u10d3\u10d0\u10ec\u10e7\u10d4\u10d1\u10d8\u10d3\u10d0\u10dc 1 \u10e1\u10d0\u10d0\u10d7\u10d8\u10e1 \u10e8\u10d4\u10db\u10d3\u10d4\u10d2. \u10d1\u10dd\u10da\u10e3\u10e1\u10d8 \u10d0\u10e0 \u10d9\u10d4\u10d7\u10d3\u10d4\u10d1\u10d0.<\/div>\n    <\/div>\n\n    <div class=\"dka-result-item\">\n      <strong>5. \u10d9\u10d0\u10da\u10d8\u10e3\u10db\u10d8\u10e1 \u10d3\u10d0\u10db\u10d0\u10e2\u10d4\u10d1\u10d0 \u10d1\u10d4\u10d2\u10e8\u10d8<\/strong>\n      <div>\u10d0\u10e0\u10e9\u10d4\u10e3\u10da\u10d8 \u10d1\u10d4\u10d2\u10d8: <span id=\"res-bag\"><\/span><\/div>\n      <div>20 mmol\/L \u10db\u10d8\u10e1\u10d0\u10e6\u10d4\u10d1\u10d0\u10d3: <span id=\"res-k20\"><\/span><\/div>\n      <div>30 mmol\/L \u10db\u10d8\u10e1\u10d0\u10e6\u10d4\u10d1\u10d0\u10d3: <span id=\"res-k30\"><\/span><\/div>\n      <div><strong>40 mmol\/L \u10db\u10d8\u10e1\u10d0\u10e6\u10d4\u10d1\u10d0\u10d3: <span id=\"res-k40\" class=\"highlight\"><\/span><\/strong><\/div>\n      <div class=\"dka-note\">\u10e3\u10de\u10d8\u10e0\u10d0\u10e2\u10d4\u10e1\u10d0\u10d3 \u10d2\u10d0\u10db\u10dd\u10d8\u10e7\u10d4\u10dc\u10d4\u10d7 KCl 15% 10 \u10db\u10da \u10d0\u10db\u10de\u10e3\u10da\u10d4\u10d1\u10d8. 1 \u10db\u10da = \u10d3\u10d0\u10d0\u10ee\u10da\u10dd\u10d4\u10d1\u10d8\u10d7 2 mmol K. KCl 4% 200 \u10db\u10da \u10d1\u10d4\u10d2\u10d8\u10d3\u10d0\u10dc 1 \u10db\u10da = \u10d3\u10d0\u10d0\u10ee\u10da\u10dd\u10d4\u10d1\u10d8\u10d7 0.54 mmol K.<\/div>\n    <\/div>\n\n    <div class=\"dka-result-item\">\n      <strong>6. \u10d3\u10d4\u10e5\u10e1\u10e2\u10e0\u10dd\u10d6\u10d8\u10e1 \u10d4\u10e2\u10d0\u10de\u10d8<\/strong>\n      <div>\u10e0\u10dd\u10d3\u10d4\u10e1\u10d0\u10ea \u10d2\u10da\u10e3\u10d9\u10dd\u10d6\u10d0 \u10e9\u10d0\u10db\u10dd\u10d5\u10d0 250 &#8211; 300 mg\/dL-\u10db\u10d3\u10d4, \u10d3\u10d0\u10d0\u10db\u10d0\u10e2\u10d4\u10d7 \u10d3\u10d4\u10e5\u10e1\u10e2\u10e0\u10dd\u10d6\u10d0.<\/div>\n      <div>D5-\u10d8\u10e1 \u10db\u10d8\u10e1\u10d0\u10e6\u10d4\u10d1\u10d0\u10d3 500 \u10db\u10da \u10d1\u10d4\u10d2\u10e8\u10d8: <span id=\"res-d5\"><\/span><\/div>\n      <div>D10-\u10d8\u10e1 \u10db\u10d8\u10e1\u10d0\u10e6\u10d4\u10d1\u10d0\u10d3 500 \u10db\u10da \u10d1\u10d4\u10d2\u10e8\u10d8: <span id=\"res-d10\"><\/span><\/div>\n      <div class=\"dka-note\">\u10d7\u10e3 \u10ee\u10d4\u10da\u10db\u10d8\u10e1\u10d0\u10ec\u10d5\u10d3\u10dd\u10db\u10d8\u10d0 \u10dd\u10e0\u10d8 \u10d8\u10dc\u10e4\u10e3\u10d6\u10dd\u10db\u10d0\u10e2\u10d8, \u10e3\u10de\u10d8\u10e0\u10d0\u10e2\u10d4\u10e1\u10d8\u10d0 \u10dd\u10e0\u10d1\u10d4\u10d2\u10d8\u10d0\u10dc\u10d8 \u10e1\u10d8\u10e1\u10e2\u10d4\u10db\u10d0: \u10d1\u10d4\u10d2\u10d8 A &#8211; NaCl 0.9% + KCl, \u10d1\u10d4\u10d2\u10d8 B &#8211; D10W + KCl.<\/div>\n    <\/div>\n\n    <div class=\"dka-result-item emergency-box\">\n      <strong>7. \u10ea\u10d4\u10e0\u10d4\u10d1\u10e0\u10e3\u10da\u10d8 \u10d3\u10d0\u10d6\u10d8\u10d0\u10dc\u10d4\u10d1\u10d8\u10e1 \u10d2\u10d0\u10d3\u10d0\u10e3\u10d3\u10d4\u10d1\u10d4\u10da\u10d8 \u10db\u10d0\u10e0\u10d7\u10d5\u10d0<\/strong>\n      <div>\u10db\u10d0\u10dc\u10d8\u10e2\u10dd\u10da\u10d8 0.5 &#8211; 1 \u10d2\/\u10d9\u10d2: <span id=\"res-mannitolG\"><\/span><\/div>\n      <div>\u10d7\u10e3 20%-\u10d8\u10d0\u10dc\u10d8 \u10db\u10d0\u10dc\u10d8\u10e2\u10dd\u10da\u10d8\u10d0: <span id=\"res-mannitolMl\"><\/span><\/div>\n      <div>NaCl 3% 5 \u10db\u10da\/\u10d9\u10d2: <span id=\"res-hypertonic\"><\/span><\/div>\n      <div class=\"dka-note\">100 \u10db\u10da 3% NaCl-\u10d8\u10e1 \u10d3\u10d0\u10e1\u10d0\u10db\u10d6\u10d0\u10d3\u10d4\u10d1\u10da\u10d0\u10d3: 23 \u10db\u10da 10% NaCl + 77 \u10db\u10da NaCl 0.9%.<\/div>\n    <\/div>\n\n    <div class=\"dka-result-item\">\n      <strong>8. \u10d0\u10d5\u10e2\u10dd\u10db\u10d0\u10e2\u10e3\u10e0\u10d0\u10d3 \u10d2\u10d4\u10dc\u10d4\u10e0\u10d8\u10e0\u10d4\u10d1\u10e3\u10da\u10d8 \u10db\u10dd\u10d9\u10da\u10d4 \u10d2\u10d4\u10d2\u10db\u10d0<\/strong>\n      <pre id=\"res-plan\" class=\"dka-plan\"><\/pre>\n    <\/div>\n  <\/div>\n<\/div>\n\n<style>\n  #dka-calc-container {\n    font-family: -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Helvetica, Arial, sans-serif;\n    background: #fff;\n    border: 1px solid #e5e7eb;\n    border-radius: 10px;\n    padding: 24px;\n    max-width: 900px;\n    margin: 20px auto;\n    box-shadow: 0 4px 12px rgba(0,0,0,0.06);\n  }\n  .dka-title {\n    margin: 0 0 10px 0;\n    text-align: center;\n    font-size: 28px;\n    color: #1f4e79;\n  }\n  .dka-disclaimer {\n    background: #fff8e8;\n    border-left: 4px solid #d69e2e;\n    color: #744210;\n    padding: 12px 14px;\n    margin-bottom: 18px;\n    font-size: 14px;\n  }\n  .dka-grid {\n    display: grid;\n    grid-template-columns: repeat(auto-fit, minmax(220px, 1fr));\n    gap: 14px;\n  }\n  .dka-input-group label {\n    display: block;\n    font-weight: 600;\n    margin-bottom: 6px;\n    color: #374151;\n    font-size: 14px;\n  }\n  .dka-input-group input, .dka-input-group select {\n    width: 100%;\n    box-sizing: border-box;\n    padding: 10px 12px;\n    border: 1px solid #cbd5e1;\n    border-radius: 6px;\n    font-size: 15px;\n    background: #fff;\n  }\n  .dka-actions {\n    display: flex;\n    gap: 10px;\n    margin-top: 18px;\n    flex-wrap: wrap;\n  }\n  .dka-actions button {\n    flex: 1 1 180px;\n    padding: 12px 14px;\n    border: none;\n    border-radius: 6px;\n    font-size: 15px;\n    font-weight: 700;\n    cursor: pointer;\n  }\n  #dka-calculate-btn { background: #2563eb; color: #fff; }\n  #dka-copy-btn { background: #0f766e; color: #fff; }\n  #dka-print-btn { background: #475569; color: #fff; }\n  .dka-results {\n    margin-top: 24px;\n    border-top: 2px dashed #e5e7eb;\n    padding-top: 18px;\n  }\n  .dka-result-item {\n    background: #f8fafc;\n    border: 1px solid #e5e7eb;\n    border-radius: 8px;\n    padding: 14px;\n    margin-bottom: 14px;\n    font-size: 15px;\n    line-height: 1.6;\n  }\n  .dka-main-result {\n    font-size: 22px;\n    font-weight: 800;\n    color: #b91c1c;\n    margin-top: 6px;\n  }\n  .highlight {\n    color: #b91c1c;\n    font-weight: 800;\n  }\n  .dka-note {\n    margin-top: 8px;\n    font-size: 13px;\n    color: #64748b;\n  }\n  .emergency-box {\n    background: #fff5f5;\n    border-color: #fecaca;\n  }\n  .dka-plan {\n    white-space: pre-wrap;\n    margin: 8px 0 0 0;\n    font-family: inherit;\n    font-size: 14px;\n    line-height: 1.7;\n  }\n  @media print {\n    .dka-actions, .dka-disclaimer { display:none; }\n    #dka-calc-container { box-shadow:none; border:none; margin:0; max-width:none; padding:0; }\n  }\n<\/style>\n\n<script>\nfunction round1(x){ return Math.round(x * 10) \/ 10; }\n\nfunction maintenanceRate(weight){\n  if (weight <= 10) return weight * 4;\n  if (weight <= 20) return 40 + (weight - 10) * 2;\n  return 60 + (weight - 20) * 1;\n}\n\nfunction rate36(weight){\n  if (weight >= 5 && weight < 10) return weight * 6.5;\n  if (weight >= 10 && weight < 20) return weight * 6;\n  if (weight >= 20 && weight < 40) return weight * 5;\n  return Math.min(weight * 4, 250);\n}\n\nfunction kText(bagSize, mmolPerL){\n  const needMmol = bagSize * mmolPerL \/ 1000;\n  const k15ml = needMmol \/ 2;\n  const k4ml = needMmol \/ 0.54;\n  let ampText = \"\";\n  if (k15ml === 5) ampText = \" = KCl 15% 5 \u10db\u10da\";\n  else if (k15ml === 10) ampText = \" = KCl 15% 1 \u10d0\u10db\u10de\u10e3\u10da\u10d0 (10 \u10db\u10da)\";\n  else if (k15ml === 20) ampText = \" = KCl 15% 2 \u10d0\u10db\u10de\u10e3\u10da\u10d0 (20 \u10db\u10da)\";\n  else ampText = \" = KCl 15% \" + round1(k15ml) + \" \u10db\u10da\";\n  return \"\u10e1\u10d0\u10ed\u10d8\u10e0\u10dd\u10d0 \" + round1(needMmol) + \" mmol K\" + ampText + \" \u10d0\u10dc KCl 4% \u10d3\u10d0\u10d0\u10ee\u10da\u10dd\u10d4\u10d1\u10d8\u10d7 \" + round1(k4ml) + \" \u10db\u10da\";\n}\n\nfunction calculateDKA(){\n  let weight = parseFloat(document.getElementById('dka-weight').value);\n  if (isNaN(weight) || weight <= 0){\n    alert(\"\u10d2\u10d7\u10ee\u10dd\u10d5\u10d7, \u10db\u10d8\u10e3\u10d7\u10d8\u10d7\u10dd\u10d7 \u10d1\u10d0\u10d5\u10e8\u10d5\u10d8\u10e1 \u10d5\u10d0\u10da\u10d8\u10d3\u10e3\u10e0\u10d8 \u10ec\u10dd\u10dc\u10d0.\");\n    return;\n  }\n  if (weight > 150) weight = 150;\n\n  const severity = document.getElementById('dka-severity').value;\n  const bagSize = parseInt(document.getElementById('dka-bag-size').value, 10);\n  const bolusType = document.getElementById('dka-bolus-type').value;\n  const glucose = parseFloat(document.getElementById('dka-glucose').value);\n  const na = parseFloat(document.getElementById('dka-na').value);\n  const cl = parseFloat(document.getElementById('dka-cl').value);\n  const hco3 = parseFloat(document.getElementById('dka-hco3').value);\n\n  const dehydrationMlKg = (severity === 'severe') ? 80 : 60;\n  const autoBolusMlKg = (severity === 'mild') ? 10 : 20;\n  const bolusMlKg = (bolusType === 'auto') ? autoBolusMlKg : parseFloat(bolusType);\n\n  const bolus = weight * bolusMlKg;\n  const deficit = weight * dehydrationMlKg;\n  const remain = Math.max(deficit - bolus, 0);\n  const maint = maintenanceRate(weight);\n  const exactHourly = maint + (remain \/ 36);\n  const hourly36 = rate36(weight);\n\n  const insulin01 = weight * 0.1;\n  const insulin005 = weight * 0.05;\n\n  const mannitolGmin = weight * 0.5;\n  const mannitolGmax = weight * 1.0;\n  const mannitolMlMin = weight * 2.5;\n  const mannitolMlMax = weight * 5.0;\n  const hypertonic = weight * 5;\n\n  let extraCalc = \"\";\n  if (!isNaN(glucose) && !isNaN(na)) {\n    const correctedNa = na + 1.6 * ((glucose - 100) \/ 100);\n    extraCalc += \"\u10d9\u10dd\u10e0\u10d4\u10e5\u10e2\u10d8\u10e0\u10d4\u10d1\u10e3\u10da\u10d8 Na: \" + round1(correctedNa) + \" mmol\/L\\n\";\n    const effectiveOsm = (2 * na) + (glucose \/ 18);\n    extraCalc += \"\u10d4\u10e4\u10d4\u10e5\u10e2\u10e3\u10e0\u10d8 \u10dd\u10e1\u10db\u10dd\u10da\u10d0\u10e0\u10dd\u10d1\u10d0: \" + round1(effectiveOsm) + \" mOsm\/kg\\n\";\n  }\n  if (!isNaN(na) && !isNaN(cl) && !isNaN(hco3)) {\n    const ag = na - (cl + hco3);\n    extraCalc += \"\u10d0\u10dc\u10d8\u10dd\u10dc\u10e3\u10e0\u10d8 \u10e1\u10ee\u10d5\u10d0\u10dd\u10d1\u10d0: \" + round1(ag) + \"\\n\";\n  }\n\n  document.getElementById('res-bolus').innerText = round1(bolus) + \" \u10db\u10da\";\n  document.getElementById('res-rate36').innerText = round1(hourly36) + \" \u10db\u10da\/\u10e1\u10d7\";\n  document.getElementById('res-deficit').innerText = round1(deficit) + \" \u10db\u10da\";\n  document.getElementById('res-remain').innerText = round1(remain) + \" \u10db\u10da\";\n  document.getElementById('res-maint').innerText = round1(maint) + \" \u10db\u10da\/\u10e1\u10d7\";\n  document.getElementById('res-hourlyExact').innerText = round1(exactHourly) + \" \u10db\u10da\/\u10e1\u10d7\";\n\n  document.getElementById('res-insulin01').innerText = round1(insulin01) + \" \u10d4\u10e0\u10d7\u10d4\u10e3\u10da\u10d8\/\u10e1\u10d7 (\" + round1(insulin01) + \" \u10db\u10da\/\u10e1\u10d7)\";\n  document.getElementById('res-insulin005').innerText = round1(insulin005) + \" \u10d4\u10e0\u10d7\u10d4\u10e3\u10da\u10d8\/\u10e1\u10d7 (\" + round1(insulin005) + \" \u10db\u10da\/\u10e1\u10d7)\";\n\n  document.getElementById('res-bag').innerText = bagSize + \" \u10db\u10da\";\n  document.getElementById('res-k20').innerText = kText(bagSize, 20);\n  document.getElementById('res-k30').innerText = kText(bagSize, 30);\n  document.getElementById('res-k40').innerText = kText(bagSize, 40);\n\n  document.getElementById('res-d5').innerText = \"437.5 \u10db\u10da NaCl 0.9% + 62.5 \u10db\u10da D40\";\n  document.getElementById('res-d10').innerText = \"375 \u10db\u10da NaCl 0.9% + 125 \u10db\u10da D40\";\n\n  document.getElementById('res-mannitolG').innerText = round1(mannitolGmin) + \" - \" + round1(mannitolGmax) + \" \u10d2\";\n  document.getElementById('res-mannitolMl').innerText = round1(mannitolMlMin) + \" - \" + round1(mannitolMlMax) + \" \u10db\u10da\";\n  document.getElementById('res-hypertonic').innerText = round1(hypertonic) + \" \u10db\u10da\";\n\n  let plan = \"\";\n  plan += \"1. \u10d3\u10d0\u10d8\u10ec\u10e7\u10d4\u10d7 Sol. NaCl 0.9% \u10d1\u10dd\u10da\u10e3\u10e1\u10d8 \" + round1(bolus) + \" \u10db\u10da 20 - 30 \u10ec\u10e3\u10d7\u10e8\u10d8.\\n\";\n  plan += \"2. \u10e8\u10d4\u10db\u10d3\u10d4\u10d2 \u10d2\u10d0\u10d0\u10d2\u10e0\u10eb\u10d4\u10da\u10d4\u10d7 \u10e1\u10d8\u10d7\u10ee\u10d4 \u10d3\u10d0\u10d0\u10ee\u10da\u10dd\u10d4\u10d1\u10d8\u10d7 \" + round1(hourly36) + \" \u10db\u10da\/\u10e1\u10d7 \u10e1\u10d8\u10e9\u10e5\u10d0\u10e0\u10d8\u10d7 36-\u10e1\u10d0\u10d0\u10d7\u10d8\u10d0\u10dc\u10d8 \u10de\u10e0\u10d0\u10e5\u10e2\u10d8\u10d9\u10e3\u10da\u10d8 \u10e1\u10e5\u10d4\u10db\u10d8\u10d7.\\n\";\n  plan += \"3. \u10d8\u10dc\u10e1\u10e3\u10da\u10d8\u10dc\u10d8 \u10d3\u10d0\u10d8\u10ec\u10e7\u10d4\u10d7 \u10db\u10ee\u10dd\u10da\u10dd\u10d3 \u10e1\u10d8\u10d7\u10ee\u10d8\u10e1 \u10d3\u10d0\u10ec\u10e7\u10d4\u10d1\u10d8\u10d3\u10d0\u10dc 1 \u10e1\u10d0\u10d0\u10d7\u10d8\u10e1 \u10e8\u10d4\u10db\u10d3\u10d4\u10d2.\\n\";\n  plan += \"4. Actrapid 0.1 \u10d4\u10e0\u10d7\u10d4\u10e3\u10da\u10d8\/\u10d9\u10d2\/\u10e1\u10d7 = \" + round1(insulin01) + \" \u10db\u10da\/\u10e1\u10d7; 0.05 \u10d4\u10e0\u10d7\u10d4\u10e3\u10da\u10d8\/\u10d9\u10d2\/\u10e1\u10d7 = \" + round1(insulin005) + \" \u10db\u10da\/\u10e1\u10d7.\\n\";\n  plan += \"5. \u10d7\u10e3 \u10d3\u10d8\u10e3\u10e0\u10d4\u10d6\u10d8 \u10d0\u10e0\u10d8\u10e1 \u10d3\u10d0 K <5 mmol\/L, \" + bagSize + \" \u10db\u10da \u10d1\u10d4\u10d2\u10e8\u10d8 40 mmol\/L-\u10d8\u10e1\u10d7\u10d5\u10d8\u10e1 \u10d3\u10d0\u10d0\u10db\u10d0\u10e2\u10d4\u10d7 \" + kText(bagSize, 40) + \".\\n\";\n  plan += \"6. \u10e0\u10dd\u10ea\u10d0 \u10d2\u10da\u10e3\u10d9\u10dd\u10d6\u10d0 \u10e9\u10d0\u10db\u10dd\u10d5\u10d0 250 - 300 mg\/dL-\u10db\u10d3\u10d4, \u10d3\u10d0\u10d0\u10db\u10d0\u10e2\u10d4\u10d7 \u10d3\u10d4\u10e5\u10e1\u10e2\u10e0\u10dd\u10d6\u10d0.\\n\";\n  plan += \"7. \u10ea\u10d4\u10e0\u10d4\u10d1\u10e0\u10e3\u10da\u10d8 \u10d3\u10d0\u10d6\u10d8\u10d0\u10dc\u10d4\u10d1\u10d8\u10e1 \u10d4\u10ed\u10d5\u10d8\u10e1\u10d0\u10e1: \u10db\u10d0\u10dc\u10d8\u10e2\u10dd\u10da\u10d8 \" + round1(mannitolGmin) + \" - \" + round1(mannitolGmax) + \" \u10d2, \u10d0\u10dc NaCl 3% \" + round1(hypertonic) + \" \u10db\u10da.\\n\";\n  if (extraCalc) plan += \"\\n\u10d3\u10d0\u10db\u10d0\u10e2\u10d4\u10d1\u10d8\u10d7\u10d8 \u10d2\u10d0\u10db\u10dd\u10d7\u10d5\u10da\u10d4\u10d1\u10d8:\\n\" + extraCalc;\n\n  document.getElementById('res-plan').innerText = plan;\n  document.getElementById('dka-results').style.display = 'block';\n}\n\nfunction copyDKAPlan(){\n  const text = document.getElementById('res-plan').innerText;\n  if (!text){\n    alert(\"\u10ef\u10d4\u10e0 \u10d2\u10d0\u10d0\u10d9\u10d4\u10d7\u10d4\u10d7 \u10d2\u10d0\u10db\u10dd\u10d7\u10d5\u10da\u10d0.\");\n    return;\n  }\n  navigator.clipboard.writeText(text).then(function(){\n    alert(\"\u10d2\u10d4\u10d2\u10db\u10d0 \u10d3\u10d0\u10d9\u10dd\u10de\u10d8\u10e0\u10d3\u10d0.\");\n  }, function(){\n    alert(\"\u10d9\u10dd\u10de\u10d8\u10e0\u10d4\u10d1\u10d0 \u10d5\u10d4\u10e0 \u10e8\u10d4\u10e1\u10e0\u10e3\u10da\u10d3\u10d0.\");\n  });\n}\n<\/script>\n\n","protected":false},"excerpt":{"rendered":"<p>\u10de\u10d4\u10d3\u10d8\u10d0\u10e2\u10e0\u10d8\u10e3\u10da\u10d8 DKA \u10d9\u10d0\u10da\u10d9\u10e3\u10da\u10d0\u10e2\u10dd\u10e0\u10d8 \u10e7\u10e3\u10e0\u10d0\u10d3\u10e6\u10d4\u10d1\u10d0: \u10d9\u10d0\u10da\u10d9\u10e3\u10da\u10d0\u10e2\u10dd\u10e0\u10d8 \u10d2\u10d0\u10dc\u10d9\u10e3\u10d7\u10d5\u10dc\u10d8\u10da\u10d8\u10d0 \u10db\u10ee\u10dd\u10da\u10dd\u10d3 \u10e1\u10d0\u10db\u10d4\u10d3\u10d8\u10ea\u10d8\u10dc\u10dd \u10de\u10d4\u10e0\u10e1\u10dd\u10dc\u10d0\u10da\u10d8\u10e1\u10d7\u10d5\u10d8\u10e1. \u10e8\u10d4\u10d3\u10d4\u10d2\u10d4\u10d1\u10d8 \u10d2\u10d0\u10db\u10dd\u10d8\u10e7\u10d4\u10dc\u10d4\u10d7 \u10d9\u10da\u10d8\u10dc\u10d8\u10d9\u10e3\u10e0 \u10d9\u10dd\u10dc\u10e2\u10d4\u10e5\u10e1\u10e2\u10e8\u10d8 \u10d3\u10d0 \u10d0\u10e0\u10d0 \u10d3\u10d0\u10db\u10dd\u10e3\u10d9\u10d8\u10d3\u10d4\u10d1\u10d4\u10da \u10d2\u10d0\u10d3\u10d0\u10ec\u10e7\u10d5\u10d4\u10e2\u10d8\u10da\u10d4\u10d1\u10d0\u10d3. \u10d1\u10d0\u10d5\u10e8\u10d5\u10d8\u10e1<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":625,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-888","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/icu.ge\/index.php?rest_route=\/wp\/v2\/pages\/888","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/icu.ge\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/icu.ge\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/icu.ge\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/icu.ge\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=888"}],"version-history":[{"count":2,"href":"https:\/\/icu.ge\/index.php?rest_route=\/wp\/v2\/pages\/888\/revisions"}],"predecessor-version":[{"id":891,"href":"https:\/\/icu.ge\/index.php?rest_route=\/wp\/v2\/pages\/888\/revisions\/891"}],"up":[{"embeddable":true,"href":"https:\/\/icu.ge\/index.php?rest_route=\/wp\/v2\/pages\/625"}],"wp:attachment":[{"href":"https:\/\/icu.ge\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=888"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}