16: 7-year old girl with abdominal pain and vomiting Flashcards
1
Q
Is K normally added to IV fluids for DKA? Why?
A
Yes, because the levels are expected to drop as acidosis is corrected and insulin is administered
2
Q
What’s the anion gap equation?
A
Na-(HCO3+Cl)
3
Q
What kind of anion gap does DKA have?
A
Elevated
4
Q
What does the mnemonic MUDPILES stand for, in elevated anion gap acidoses?
A
Methanol Uremia DKA Paraldehyde Iron Lactic Acidosis Ethanol/ethylene glycol Salicylates
5
Q
What’s the diagnostic criteria for DKA?
A
A random blood glucose of >200, a venous pH <7.3 or bicarb <15, and moderate ketonuria or ketonemia
