WITCHDOCTOR ALERT: Diabetic Ketoacidosis (DKA) Myths
Myth #1: We should get ABGs instead of VBGs in DKA…Busted: VBG can be used in place of ABGs Myth #2: After Intravenous Fluids (IVF), Insulin is the Next Step…Busted: After starting IVF, the next step in DKA management is electrolyte replacement, NOT Insulin. Myth #3: Once pH <7.1, Patients Need Bicarbonate Therapy…Busted: Intravenous bicarbonate […]
Diabetic patient presents ‘off-legs’, dehydrated, fever, abdominal pain..? infection
Paediatric DKA…here’s a clue to check the glucose
Empiric Antibiotics for the Diabetic Foot
Myths in DKA Management
Myths in DKA Management: The urban legends end here VBG as good as ABG for diagnosis and treatment Aggressively replete potassium prior to starting insulin Bicarbonate is unnecessary in DKA treatment and potentially harmful A bolus of insulin is unnecessary in DKA treatment and potentially harmful
Diabetic Ketoacidosis (DKA)
No insulin boluses and no bicarbonate (even in adults)
Just Say NO to Insulin Bolus and Bicarb in DKA!!!!
Insulin Bolus: http://rebelem.com/benefit-initial-insulin-bolus-diabetic-ketoacidosis/ Bicarb: http://rebelem.com/benefit-sodium-bicarbonate-dka/
Lipid-Modifying Therapy: A New Paradigm
For all those who love ordering lipid profiles…PLEASE STOP!!!! This is the latest evidence on statin therapy and risk for 10-year risk for first atherosclerotic cardiovascular disease events (ASCVD; nonfatal myocardial infarction, coronary heart disease