In this episode, we cover the anatomy of a DKA resuscitation. Check the post out for some juicy pearls.
As always, the pitfalls:
- Missing an underlying cause of DKA, especially sepsis. The primary cause of death among patients admitted with DKA isn't the DKA itself, but rather associated conditions (mostly sepsis).
- Bolusing large volumes of normal saline will make the patient more acidotic. This is generally not a major problem, but it can be for the patient who starts out severely acidotic at baseline.