11.01.2022 - By Zack Olson, MD and Michael Estephan, MD
You are working a shift at Clerkship General when the charge nurse comes and grabs you to see a 24yo male who appears to be in respiratory distress.
Critical Actions:
* Diagnose DKA* Replete potassium* Start insulin AFTER potassium repletion* EITHER place central line for faster K repletion OR initiate bipap to allow time for potassium repletion via existing peripheral line* Admit to ICU
Further Reading:
EMCrit – DKA