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