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Welcome to the Internet Book of Critical Care's podcast. Josh Farkas and Adam Thomas provide a summary of each chapter for your listening.

 

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Sep 6, 2018

In this episode, we cover the anatomy of a DKA resuscitation. Check the post out for some juicy pearls.

As always, the pitfalls:

  • Missing an underlying cause of DKA, especially sepsis.  The primary cause of death among patients admitted with DKA isn't the DKA itself, but rather associated conditions (mostly sepsis).
  • Bolusing large volumes of normal saline will make the patient more acidotic.  This is generally not a major problem, but it can be for the patient who starts out severely acidotic at baseline.