{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"DKA in Critical Care","description":" What is DKA? \u2013 The triad of hyperglycaemia, ketonaemia, and metabolic acidosis (JBDS 2023 definitions). Pathophysiology explained \u2013 Insulin deficiency, ketone production, and why potassium is so tricky. Clinical features \u2013 Polyuria, dehydration, Kussmaul breathing, acetone breath, and red flags for deterioration. Investigations \u2013 Capillary ketones, blood gases, electrolytes, ECG, and screening for precipitants. Management (UK guidelines) \u2013 Fluids first, fixed-rate insulin infusion, careful potassium replacement, and always treat the trigger. Pitfalls \u2013 Starting insulin before fluids, forgetting potassium, dropping glucose too quickly, or missing the underlying cause. Case vignette \u2013 A young woman with type 1 diabetes presenting in DKA, walking through priorities and pitfalls in real time. \ud83d\udd11 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. ","author_name":"The Critical Care Practitioner","author_url":"http:\/\/criticalcarepractitioner.libsyn.com\/website","html":"