DKA (Critical Diagnosis)

DKA is one of my favorite diagnoses to treat because it follows a nice, simple, algorithmic approach. These patients are incredibly sick, but your attending will be very impressed if you have an understanding of the basic protocol. The hardest thing to remember is that the blood sugar is the LEAST important part of DKA management. Dehydration, Hypokalemia, and Ketoacids play a much more important role.

1 Comment

  1. Otari Beldishevski-Shotadze

    May 19, 2019 at 8:45 pm

    Hey Zack, thanks for the podcast. I just have a question about the adjusted Na and K levels and whether they should be considered in the management process. I have heard in the past that if the low Na on blood gas isn’t rising as you manage the glycemia than there is a risk of cerebral edema. Could you please expand on this further. Thank you.

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