Episode 90 – The Key to Ketoacidosis

 

Diabetic Ketoacidosis (DKA) is a common metabolic disorder, particularly in the pediatric population. If treated inappropriately, these patients can quickly decompensate to the point of hypovolemic shock, acute respiratory failure, and even cerebral herniation. What are the physiological differences behind DKA verses HHS (Hyperglycemic Hyperosmolar Syndrome)? What are some simple methods to identify DKA in the field? How do we effectively treat DKA? And how should we monitor our interventions? Tune in to a bittersweet podcast episode where we discuss this derangement in its entirety.

 

Formulas

MD Calc: Sodium Correction for Hyperglycemia (Factor may vary)

Bicarbonate on BMP + 15 = PCO2 in normal patient

 

Courtesy of REBEL EM

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