
Updates In Medicine
May 21, 2025 at 09:37 AM
🩺 *FAKIM-TC: Master DKA Management*
A structured, stepwise approach every clinician should know
🔹 💧 Fluids – First priority: 0.9% NaCl bolus, adjust as needed.
🔹 🧑⚕️ Assessment – ABCs, hydration, mental status, & identify triggers.
🔹 🔋 Potassium – Replace before insulin if K⁺ <3.3 mmol/L.
🔹 💉 Insulin – Start IV insulin only if K⁺ >3.3; titrate carefully.
🔹 📈 Monitoring – Hourly glucose; 2–4 hrly electrolytes, pH, AG.
🔹 🔁 Transition – Shift to SC insulin once DKA resolves; overlap required.
🔹 🦠 Cause – Treat underlying trigger: infection, MI, pancreatitis, etc.

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