1. When resuscitating DKA patients, avoid chloride-rich fluids as to not worsen acidosis.
2. Fight the urge to give bicarb! It does not address the pathophysiology of DKA and will likely harm the patient.
3. Mind the gap! Remember to follow the closure of the anion gap to guide treatment, not the serum glucose.
4. Not all "respiratory distress" is due to pulmonary etiology - think about metabolic causes of tachypnea as well!
Disclaimer: All original material and images included on this website are the sole property of CMC EM Residency and cannot be used or reproduced without written permission. Information contained on this website is the opinion of the authors and does not necessarily represent the official opinion of Atrium Health or Carolinas Emergency Medicine Residency.
For Health Care Providers: Every effort is made to provide the most up to date evidence based medicine. However, this content may not necessarily reflect the standard of care and application of material contained on this website is at the discretion of the practitioner to verify for accuracy.
For the Public: This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Relying on information contained on this website is done at your own risk. Do not disregard professional medical advice or delay seeking care secondary to content on this website. Call 911 or seek a medical professional immediately for any medical emergencies.
Like us on Facebook or
follow us on Twitter/Instagram
Department of Emergency Medicine
Medical Education Building., Third floor
1000 Blythe Blvd.
Charlotte, NC 28203