Diabetic Ketoacidosis Emergent Management
Nov 25, 2020
Join the EMGuideWire Team from CMC EM group as they explore the initial thoughts and management of a patient who presents with severe Diabetic Ketoacidosis (DKA). For this episode, Drs. Claire Milam and Travis Barlock explore the initial considerations and practical management tips.
Definitions of severity of DKA:
Mild
-
- pH: 7.25-7.3
- CO2: 15-18 mEq/L
- Anion Gap: > 10 mEq/L
- Mental Status: Alert
- Blood Glucose: >250 mg/dl
- Urine and Serum Ketones: Positive
Moderate
-
- pH: 7.0-7.24
- CO2: 10-15 mEq/L
- Anion Gap: >12 mEq/L
- Mental Status: Alert to Drowsy
- Blood Glucose: >250 mg/dl
- Urine and Serum Ketones: Positive
Severe
-
- pH: < 7.0
- CO2: < 10 mEq/L
- Anion Gap: > 12 mEq/L
- Mental Status: Stuporous to Comatose
- Blood Glucose: >250 mg/dl
- Urine and Serum Ketones: Positive