1 rich Libsyn https://www.libsyn.com 90 600 What is DKA? – The triad of hyperglycaemia, ketonaemia, and metabolic acidosis (JBDS 2023 definitions). Pathophysiology explained – Insulin deficiency, ketone production, and why potassium is so tricky. Clinical features – Polyuria, dehydration, Kussmaul breathing, acetone breath, and red flags for deterioration. Investigations – Capillary ketones, blood gases, electrolytes, ECG, and screening for precipitants. Management (UK guidelines) – Fluids first, fixed-rate insulin infusion, careful potassium replacement, and always treat the trigger. Pitfalls – Starting insulin before fluids, forgetting potassium, dropping glucose too quickly, or missing the underlying cause. Case vignette – A young woman with type 1 diabetes presenting in DKA, walking through priorities and pitfalls in real time. 🔑 Key takeaways: DKA = fluids first, insulin second, potassium throughout. Monitor closely and stick to the JBDS 2023 UK protocol. Always identify and treat the precipitating cause. The Critical Care Practitioner http://criticalcarepractitioner.libsyn.com/website <iframe title="Libsyn Player" style="border: none" src="//html5-player.libsyn.com/embed/episode/id/38423755/height/90/theme/custom/thumbnail/yes/direction/forward/render-playlist/no/custom-color/88AA3C/" height="90" width="600" scrolling="no" allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen></iframe> https://assets.libsyn.com/secure/content/193661370