Nutritional support is the most important part of treatment. Constant slow infusion of glucose IV (dexrose 5%)should be given initially. Followed by protamine zinc insulin (15IU/kg IM q12h) and glucose (0.5g/kg PO q 12h) or high energy gruel based on barley or oats given by stomach tube and supportive amino acids. Heparin (40-100 IU/kg SC q12h) may be given in an attempt to reduce plasma triglyerides but will not correct the underlying cause and may alter haemostasis.
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Nutritional support is the most important part of treatment. Constant slow infusion of glucose IV (dexrose 5%) should be given initially. Followed by protamine zinc insulin and glucose or high energy gruel based on barley or oats given by stomach tube and supportive amino acids. Heparin may be given in an attempt to reduce plasma triglyerides but will not correct the underlying cause and may alter haemostasis.