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

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