Diabetic Ketoacidosis Emergent Management

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