Sunday, May 1, 2022

DKA Myths

REBEL EM - By Salim Rezaie - November 02, 2015
„Recently, I was asked to give a lecture to both my residents and nurses at the University of Texas Health Science Center at San Antonio (UTHSCSA) on some common DKA myths. Now this topic was originally covered by my good friend Anand Swaminathan on multiple platforms and I did ask his permission to create this blogpost with the idea of improving patient care and wanted to express full disclosure of that fact. I specifically covered four common myths that I still see people doing in regards to DKA management…“
Myth #1: We should get ABGs instead of VBGs in DKA
Myth #2: After Intravenous Fluids (IVF), Insulin is the Next Step
Myth #3: Once pH <7.1, Patients Need Bicarbonate Therapy
Myth #4: We Should Bolus Insulin Before Starting the Infusion