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Mildly Acidotic

Mild DKA

Rob Orman, MD and George Willis, MD
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15:23
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Nurses Edition Commentary

Lisa Chavez, RN and Kathy Garvin, RN
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01:10

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Tag Toxicology/Pharmacology
EM:RAP 2017 September Written Summary 760 KB - PDF

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Scott W., M.D. -

If on recheck of BMP these patients do not meet criteria for discharge does he give another dose of insulin and recheck in 1-2 hours, or just admit at that point? If admission is it with insulin infusion and to ICU?

Ian L., Dr -

Like a clear discussion of acid base physiology and the potassium sodium shifts !

Fawziah A. -

Good day!

15 y old, Known DM on insulin
Came to ED with Nausea and persistent High Blood Sugar at Home

Gluc 14 mmol, VBG: PH 7.35, Hco3 14, Pco2 35, AG 18, +ve Keton in urine and Bl
her Lactic Acid 4, Cr elevated for the first time 80
she was Tachycardic persistently 130 and after fluid 112
she injects her self with insulin before presentation to ED

is it still considered Euglycemic DKA although PH is 7.35?

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Mildly Acidotic Full episode audio for MD edition 242:59 min - 339 MB - M4AEM:RAP 2017 September Aussie Edition Australian 22:11 min - 30 MB - MP3EM:RAP 2017 September German Edition Deutsche 79:31 min - 109 MB - MP3EM:RAP 2017 September Spanish Edition Español 89:21 min - 123 MB - MP3EM:RAP 2017 September Canadian Edition Canadian 29:35 min - 41 MB - MP3EM:RAP 2017 September French Edition Français 25:35 min - 35 MB - MP3EM:RAP 2017 September Board Review Answers 206 KB - PDFEM:RAP 2017 September Board Review Questions 174 KB - PDFEM:RAP 2017 September Written Summary in Spanish 2 MB - PDFEM:RAP 2017 September Written Summary 760 KB - PDFEM:RAP September Individual MP3 Files 322 MB - ZIP

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