Diabetic Ketoacidosis

Resources to Review Prior to Conference

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Goals and Objectives

Goals
  • Trainee will demonstrate competence in the initial evaluation and management of patients with diabetic ketoacidosis, including the pediatric population

Objectives

Trainee will be able to:

  • Describe the pathophysiology of DKA

  • List criteria for diagnosing DKA

  • List common presenting signs and symptoms of patients in DKA

  • List diagnostic tests commonly indicated in the work-up of patients with DKA

    • Fingerstick glucose

    • CBC with differential

    • BMP / Mg / Phos

    • VBG

    • Serum ketones

    • UA

    • Infectious work-up (as indicated)

  • Name common electrolyte abnormalities and approach to treatment

    • Sodium

    • Potassium

    • Serum

    • Total-body

    • Magnesium

    • Phosphate

  • Name common acid-base abnormalities and approach to treatment

  • Name and describe three pillars of DKA management

    • Volume repletion

    • Insulin therapy / glucose management

    • Electrolyte management

  • Describe appropriate initial fluid resuscitation for:

    • Pediatric patients

    • Adult patients

  • Describe appropriate insulin therapy:

    • Timing / conditions for initiation

    • Type / route / dose of insulin

  • Describe appropriate electrolyte repletion:

    • Thresholds for repletion

    • Route / dose of therapy

  • Name the tests used for continued monitoring and appropriate intervals for testing

    • Glucose

    • Electrolytes

    • pH

    • Anion Gap

  • Describe the appropriate disposition for patients with DKA

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Additional Resources

General / Review

Pediatric DKA