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["DOK","DiaKetoCalc - Kalkulator for beregning av Glucose-korrigert S-Na og Effektiv osmolalitet ved DKA og HHS",null,null,null,"Referanser_Ved"]
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[2.2000000000000002,"V. Skogstrøm",null,null,null,"Referanser_Eks"]
[0,"<ikke styrt>",null,null,null,"0"]
["lagre","19.11.2024"]
["ikke print","0.22"]
["___","II.SOA.AIO.SSA.2.a-60"]
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[null,"Åpen"]

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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1234visk"]
[null,"DiaKetoCalc  - Kalkulator for beregning av Glucose-korrigert S-Na og Effektiv serum-osmolalitet ved DKA og HHS"]
[null,"De aktuelle verdier SKAL ALLTID også føres inn i pasientens oppfølgingsskjema i papir da verdiene i kalkulatoren ikke kan lagres for dokumentasjon. Denne filen kan deles via E-mail ved vaktskifte."]
[null,"Lab-verdier følges med Blodgass-apparatet som vist under ( S-Glucose > 41,7 mmol/l  må tas av Lab.).  B-ketoner > 5,0 kan være betydelig høyere enn PNA-testen viser. Ketolysen følges da via økning i S-HCO3."]
[null,"Korr. S-Na viser den S-Na pas får ved ”normalisert” S-Glucose. Dette er et bedre mål da vann trekkes fra ICV til ECV ved høy S-Glucose (Water-shift) →  S-Na fall pga fortynnet lav S-Na.  "]
[null,"Timer til neste analyse  ","Mål/time","Start",1,1,1,1,2,2,2,2,2,4,4,4,4,4,4,4]
[null,"Reelle klokkeslett for prøver: "]
[null,"   Antall timer siden start ",null,null,{"$f":"IF(OR(E7=0,E9=0,E11=0,E12=0),\" \",(E52))","v":" "},{"$f":"IF(OR(F7=0,F9=0,F11=0,F12=0),\" \",(F52))","v":" "}," "," "," "," "," "," "," "," "," "," "," "," "," "," "]
[null," S-Glucose (mmol/l)","↓ 2 - 3 - 5"]
[null,"   Endring S-Glucose pr time siden 1 time etter start ",null,null,{"$f":"IF(OR(E7=0,E9=0,E11=0,E12=0),\" \",(E9-$D9)/E52)","v":" "},{"$f":"IF(OR(F7=0,F9=0,F11=0,F12=0),\" \",(F9-$E9)/(F52-1))","v":" "},{"$f":"IF(OR(G7=0,G9=0,G11=0,G12=0),\" \",(G9-$E9)/(G52-1))","v":" "}," "," "," "," "," "," "," "," "," "," "," "," "," "]
[null," S-K  (mmol/l)"," 4,0 - 5,3"]
[null," S-Na (mmol/l) - målt","↑  1 - 2  "]
[null," Korr. S-Na  kalkulert","  = ↓ < 0,5",{"$f":"IF(OR(D12=0,D9=0,D11=0),185,D55)","v":185},{"$f":"IF(OR(E12=0,E9=0,E11=0),185,E55)","v":185},185,185,185,185,185,185,185,185,185,185,185,185,185,185,185]
[null,"    Endring Korr. S-Na pr time siden siste verdi ",null,null,{"$f":"IF(OR(E7=0,E9=0,E12=0,E11=0),\" \",E56)","v":" "},{"$f":"IF(OR(F9=0,F12=0,F11=0),\" \",F56)","v":" "}," "," "," "," "," "," "," "," "," "," "," "," "," "," "]
[null,"    Endring Korr. S-Na pr time siden 1 time etter start",null,null,{"$f":"IF(OR(E7=0,E9=0,E12=0,E11=0),\" \",E57)","v":" "},{"$f":"IF(OR(F7=0,F9=0,F12=0,F11=0),\" \",F57)","v":" "}," "," "," "," "," "," "," "," "," "," "," "," "," "," "]
[null," Eff. S-Osmol kalkulert","↓ 0 - 1 - 3",{"$f":"IF(OR(D9=0,D11=0,D12=0),300,D58)","v":300},{"$f":"IF(OR(E9=0,E11=0,E12=0),300,E58)","v":300},300,300,300,300,300,300,300,300,300,300,300,300,300,300,300]
[null,"   Endring Eff. S-Osmol pr time siden siste verdi",null,null,{"$f":"IF(OR(E9=0,E12=0,E11=0),\" \",E59)","v":" "}," "," "," "," "," "," "," "," "," "," "," "," "," "," "," "]
[null,"   Endring Eff. S-Osmol pr time siden 1 time etter start",null,null,{"$f":"IF(OR(E7=0,E9=0,E12=0,E11=0),\" \",E60)","v":" "},{"$f":"IF(OR(F7=0,F9=0,F12=0,F11=0),\" \",F60)","v":" "}," "," "," "," "," "," "," "," "," "," "," "," "," "," "]
[null," aktuell S-HCO3  (mmol/l)","↑  1 - 3  "]
[null,"   Endring akt S-HCO3 pr time  siden siste verdi",null,null,{"$f":"IF(OR(E19=0,E9=0,E12=0,E11=0),-20,E62)","v":-20},{"$f":"IF(OR(F19=0,F9=0,F12=0,F11=0),-20,F62)","v":-20},-20,-20,-20,-20,-20,-20,-20,-20,-20,-20,-20,-20,-20,-20]
[null," B-Ketoner  - PNAtest","↓  > 0,5 "]
["00:05:00","Eff. S-Osmol = 2 x(S-Na) + S-Glucose      Ref.: 275-295                      Glucose-Korrigert  S-Na =  S-Na + [(S-Glucose – 10 )x 0,4]     Blodgassapparatets S-Na påvirkes ikke av høye triglycerider ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Gjelder fra:","[]"]
["00:15:00","01:00:00",null,null,null,"  Ved S-Glucose < 10 mmol/l  korrigeres ikke S-Na. (Modifisert Katz’s formel)"]
["00:30:00","Terapimål og Dosejustering"]
["00:45:00",null,"Endring pr time ( Forutsetter S-Glucose-verdi > 25 mmol/l ved behandlingsstart )"]
["01:00:00",null,"DKA (røde tall i tabellen): ",null,null,null,null,null,"HHS og Risiko pas (blå tall i tabellen):"]
["01:15:00",null,"S-Glucose:    3 - 5 mmol/l  reduksjon/t  ",null,null,null,null,null,"S-Glucose:      2 - 3 mmol/l reduksjon/t"]
["01:30:00",null,"Eff. S-Osmol  ≤  3  mOsm/kg  reduksjon/t",null,null,null,null,null,"Eff. S-Osmol:  Etter fall første 2-3 timer: Uendret neste 12 t → så fall ( 1-3/time )"]
["01:45:00",null,"Akt S-HCO3:  1 - 3 mmol/l   økning/t",null,null,null,null,null,"Korr. S-Na:     Etter fall første 2-3 timer: Uendret 12 t så max fall 10 mmol/l pr dag"]
["02:00:00",null,"B-Ketoner:   > 0,5 mmol/l  reduksjon/t - Har verdi først når Akt S-HCO3 > 12 mmol/l, men tas ved start."]
["02:15:00"]
["02:30:00",null,"Insulindose økes 2 E/t ved ikke tilfredstillende økning i Akt  S-HCO3/fall i S-Glucose. Ved fall i S-Glucose > 5 mmol/l/t etter 3-4 timer startes Glucose 20%. Insulindosen kan reduseres v/pH > 7,15."]
["02:45:00",null,"Senest når S-Glucose < 14 (17): Start Glucose 20%  50 ml/t og juster hastigheten til S-Glucose: 11-14 (14-17). Ved S-Ketoner < 3,0 justeres insulindosen med GlucoCalc v/HbA1c 75 mmol/mol."]
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["07:00:00",null,"timer mellom",null,{"$f":"(E51-D7)*24","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0]
["07:15:00",null,null,"1900-01-01",{"$f":"IF(E7<D7,SUM(E7+$D51),E7)","v":"00:00:00"},"00:00:00","00:00:00","00:00:00","00:00:00","00:00:00","00:00:00","00:00:00","00:00:00","00:00:00","00:00:00","00:00:00","00:00:00","00:00:00","00:00:00","00:00:00"]
["07:30:00",null,"timer addert",null,{"$f":"SUM($E34:E50)","v":0},{"$f":"SUM($E34:F50)","v":0},{"$f":"SUM($E34:G50)","v":0},{"$f":"SUM($E34:H50)","v":0},{"$f":"SUM($E34:I50)","v":0},{"$f":"SUM($E34:J50)","v":0},{"$f":"SUM($E34:K50)","v":0},{"$f":"SUM($E34:L50)","v":0},{"$f":"SUM($E34:M50)","v":0},{"$f":"SUM($E34:N50)","v":0},{"$f":"SUM($E34:O50)","v":0},{"$f":"SUM($E34:P50)","v":0},{"$f":"SUM($E34:Q50)","v":0},{"$f":"SUM($E34:R50)","v":0},{"$f":"SUM($E34:S50)","v":0},{"$f":"SUM($E34:T50)","v":0}]
["07:45:00"]
["08:00:00",null,null,null,{"$f":"SUM(D7+$B23)","v":"01:00:00"},"01:00:00","01:00:00","01:00:00","01:00:00","01:00:00",{"$f":"SUM(J7+$B23*2)","v":"02:00:00"},{"$f":"SUM(K7+$B23*2)","v":"02:00:00"},{"$f":"SUM(L7+$B23*2)","v":"02:00:00"},{"$f":"SUM(M7+$B23*4)","v":"04:00:00"},"04:00:00","04:00:00","04:00:00","04:00:00","04:00:00","04:00:00"]
["08:15:00",null,null,{"$f":"D12+(D9-10)*0.4","v":-4},{"$f":"E12+(E9-10)*0.4","v":-4},{"$f":"F12+(F9-10)*0.4","v":-4},-4,-4,-4,-4,-4,-4,-4,-4,-4,-4,-4,-4,-4,{"$f":"T12+(T9-10)*0.4","v":-4}]
["08:30:00",null,null,null,{"$f":"(E13-D13)/E50","v":{"$error":"#DIV/0!"}},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
["08:45:00",null,null,null,{"$f":"(E13-$D13)/(E52)","v":{"$error":"#DIV/0!"}},{"$f":"(F13-$E13)/(F52-1)","v":0},{"$f":"(G13-$E13)/(G52-1)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0]
["09:00:00",null,null,{"$f":"2*D12+D9","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0]
["09:15:00",null,null,null,{"$f":"(E16-D16)/E50","v":{"$error":"#DIV/0!"}},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
["09:30:00",null,null,null,{"$f":"(E16-$D16)/E52","v":{"$error":"#DIV/0!"}},{"$f":"(F16-$E16)/(F52-1)","v":0},{"$f":"(G16-$E16)/(G52-1)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0]
["09:45:00"]
["10:00:00",null,null,null,{"$f":"(E19-D19)","v":0},{"$f":"(F19-E19)","v":0},{"$f":"(G19-F19)","v":0},0,0,0,0,0,0,0,0,0,0,0,0,0]
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