IBCC Episode 1 - DKA

In the inaugural episode of the Internet Book of Critical Care Podcast, Adam Thomas and Josh Farkas discuss the anatomy of a DKA (Diabetic Ketoacidosis) resuscitation. They cover the definition and diagnosis of DKA, emphasizing the importance of anion gap and ketone levels, and caution against being misled by euglycemic DKA or concomitant metabolic alkalosis. The discussion includes eight key points for DKA resuscitation: identifying and treating the underlying cause, initiating insulin infusions, achieving euvolemia, administering crystalloid infusions, starting long-acting insulin, using high-flow nasal cannula for respiratory support, monitoring the patient during insulin infusion, and discontinuing the insulin infusion. They also address specific scenarios such as DKA in dialysis patients and preventing cerebral edema, highlighting potential pitfalls and offering practical advice for managing DKA in critical care settings.