ICU SAQs · Endocrine & metabolic emergencies
Diabetic ketoacidosis — the management
A CICM Second-Part SAQ on the DKA — the fluid first, the FRIII, the potassium (the hold the insulin), the ketone clearance.
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Prompt
A 25-year-old with type-1 diabetes presents with vomiting and abdominal pain, glucose 28, pH 7.1, bicarbonate 8, ketones 6.5 mmol/L, K 3.0. Outline the management.
Question
A 25-year-old with type-1 diabetes presents with vomiting and abdominal pain, glucose 28, pH 7.1, bicarbonate 8, ketones 6.5 mmol/L, K 3.0. Outline the management.
[1]References2ShowHide
- [1]Dhatariya KK The management of diabetic ketoacidosis in adults - An updated guideline. Diabetic Medicine, 2022.PMID 35224769
- [4]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.