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Tag: Diabetic Ketoacidosis

SCOPE-DKA: Normal Saline vs Plasmalyte in Severe DKA

Background Information:  Diabetic Ketoacidosis (DKA) is a life-threatening complication of diabetes that we frequently encounter in both the emergency department (ED) and intensive care unit (ICU). While intravenous fluid replacement remains one of several cornerstones of therapies, much debate exists …

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Endocrine, Metabolic, Fluid, and ElectrolytesResuscitation

REBEL Core Cast 18.0 – DKA Tips and Tricks

Take Home Points When looking at pH and bicarb, the differences between VBG and ABG are miniscule. For DKA patients, stick with the VBG as is less painful and has fewer complications.  LR is probably a better fluid for the …

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Endocrine, Metabolic, Fluid, and Electrolytes

Diabetic Ketoacidosis (DKA) Myths

Recently, I was asked to give a lecture to both my residents and nurses at the University of Texas Health Science Center at San Antonio (UTHSCSA) on some common DKA myths. Now this topic was originally covered by my good friend Anand Swaminathan …

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Endocrine, Metabolic, Fluid, and Electrolytes

Any Benefit to Sodium Bicarbonate in DKA?

In a prior post, we discussed the use of an initial insulin bolus in the management of diabetic ketoacidosis (DKA).  Today we will address another facet of DKA management, for which there is less than optimal evidence and that is: …

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Endocrine, Metabolic, Fluid, and Electrolytes

Is There Any Benefit to an Initial Insulin Bolus in Diabetic Ketoacidosis?

Diabetic ketoacidosis (DKA) is a common endocrine emergency encountered in the emergency department.  DKA associated mortality is relatively low in adults, but in children with type 1 diabetes, the elderly, and adults with concomitant illnesses have a mortality rate is …

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Endocrine, Metabolic, Fluid, and Electrolytes

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