Diabetic Ketoacidosis

Presentation

History

Vital signs

Examination

Bedside tests

Urine dipstick, to look for ketonuria, or a precipitating UTI

ECG - ?precipitating cardiac event, or consequences of hyperkalaemia

Laboratory investigations

U&Es

Sodium is usually high as a result of dehydration, but may also be low as a result of extreme hypovolaemia or osmotic effects of hyperglycaemia

Potassium

CRP - ?precipiating infection

Radiological investigations

CXR - ?precipitating infection

Management

Immediate management