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Master DKA Treatment Before Your Next Shift

The Preround

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Master DKA Treatment Before Your Next Shift

24 просмотра · 4 дн. назад
The Preround
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24 просмотра · 4 дн. назад
Diabetic ketoacidosis, start to finish- the first bolus to stopping the drip. If you're pre-rounding on a DKA patient tonight, this gets you through fluids, potassium, insulin, and what actually ends the infusion, in that order. Built on the ADA/EASD/JBDS/AACE/DTS consensus report EDUCATIONAL RESOURCES: The DKA quick-reference sheet, full study guide, and Anki decks are all available in the channel Etsy page: https://thepreround.etsy.com WHAT'S COVERED: 2024 diagnostic criteria: history of diabetes alone counts, venous pH replaces ABG, anion gap demoted to fallback Why the potassium of 5.6 is more dangerous than the pH of 7.08 Balanced crystalloid over normal saline (2024 change) The potassium gate: when to hold insulin, when to run it Fixed-rate insulin infusion, no bolus Euglycemic DKA, AKA, HHS, and the mimics that'll fool you at 3am What actually ends the drip (it isn't the anion gap) 5 ward pearls you can say on rounds tomorrow New case every week. Subscribe if this is useful for the wards. DISCLAIMER Educational content only, not medical advice. I'm a fourth-year medical student (MS4) applying to internal medicine residency, not a licensed physician. This case is de-identified and composite; no real patient information is shown. Content is not a substitute for clinical judgment, institutional protocols, or attending oversight. #DKA #InternalMedicine #Step2CK DKA management, diabetic ketoacidosis treatment, insulin drip protocol, DKA workup, internal medicine, IM clerkship, USMLE Step 2 CK, med student, ward pearls, The Preround