Ketoacidosis Disorders: DKA, HHS, & more

#criticalCare #acidBase

Disorders of ketosis (DKA, HHS, AKA, etc) are very common in the ICU, but can have high morbidity if mismanaged. This OnePager covers the differences between these disorders & provides a handy differential to identify the underlying cause (the 5 I’s mnemonic: infection, ischemia, inflammation, intoxications, insulin deficiency). It also explains the 3 pillars of treating DKA & HHS: Insulin, IV fluids, and aggressive electrolyte replacement.

Current version 1.2 (originally posted 2022-05-25; last updated 2022-07-24).