EM Cases · DKA, HHS and hypoglycaemia
Severe DKA — fluid, insulin and potassium station
ACEM Fellowship OSCE resus station testing JBDS DKA protocol: FRIII dose, potassium rules, glucose switch, and no routine bicarbonate.
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Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
Young type-1 diabetic in severe DKA; insulin about to be started as a sliding scale and potassium ignored at 5.6.
Station brief
Format. Clinical-management (resus) station, 11 minutes.
References2ShowHide
- [1]Savage MW, Dhatariya K, Kilvert A, et al. Joint British Diabetes Societies guideline for the management of diabetic ketoacidosis. Diabetic Medicine, 2011.PMID 21255074
- [2]Kitabchi AE, Umpierrez GE, Miles JM, Fisher JN. Hyperglycemic crises in adult patients with diabetes. Diabetes Care, 2009.PMID 19564476