Diabetic Ketoacidosis

Diagnostic criteria:

• High BM - >11 mmol/L
• Ketones - >3 mmol/L
• Acidosis  pH <7.3

Presentation:

• Deep laboured breathing
• Fruity smell of breath
• Metabolic acidosis with increased anion gap

 

Fluid bolus (± potassium) + fixed rate insulin infusion, 0.1 units/kg/hr