Created at 8:47 a.m. Apr, 25, 2024
Author: amnonb
Related Note: 1568856424118 1
Rationale for change

The hyponatremia that can develop in DKA is a true hyponatremia. Pseudohyponatremia refers to a lab error due to high lipids or proteins. In the case of DKA Na+ can actually decrease in the body due to the osmolar effect of glucose, which dilutes the Na+. The Amboss article of DKA also mentions hyponatremia and not pseudohyponatremia.

Extra Extra
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What are the next steps in management in a patient with DKA?

{{c1::Normal saline and IV regular insulin infusion::2}}
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#AK_Step1_v12::#Pixorize::03_Pharmacology::08_Diabetes_Drugs_(Old)::01_Insulin_Preparations #AK_Step2_v12::#OME::06_Surgery::03_Surgical_Subspecialties::03_Endocrine_Diseases #AK_Step2_v12::#SketchyIM::05_Endocrinology::01_Diabetes::04_Acute_Diabetes_Complications_SOAP !AK_UpdateTags::Step2decks::Cheesy-Dorian-(M3)::Surgery::1-OME::3 #AK_Step2_v12::#OME::Clinical::06_Surgery::03_Surgical_Subspecialties::03_Endocrine_Diseases #AK_Step2_v12::#AMBOSS::tp0XrS #AK_Step2_v12::#Resources_by_rotation::Surgery::ome::subspecialty::endo #AK_Step2_v12::#UWorld::Step::2184 #AK_Step2_v12::Original_decks::Dorian::im::ome::endo::dm_emergencies #AK_Step2_v12::#Subjects::Endocrinology::06_Pancreas::Diabetes::Diabetic_Ketoacidosis::Management #AK_Step2_v12::#UWorld::COMLEX::28002 #AK_Step2_v12::Original_decks::Dorian::surg::ome::subspecialty::endo #AK_Step2_v12::!FLAG_THESE_CARDS::Potential_duplicates #AK_Step1_v12::#AMBOSS::8aaOmQ #PANCE::EOR::PEDS !AK_UpdateTags::step2PotentialDupes::Forrest::notPerfect_but_couldcombine #AK_Step2_v12::#AMBOSS::Gp0BIS #AK_Step2_v12::!Shelf::Surgery #AK_Step2_v12::#Resources_by_rotation::IM::ome::endo::dm_emergencies #AK_Step1_v12::#Pixorize::03_Pharmacology::07_Diabetes_Drugs_(New)::04_Insulin_Preparations #PANCE::ENDO::diabetes #AK_Original_Decks::Step_2::Cheesy_Dorian_(M3) #AK_Step2_v12::#Subjects::Endocrinology::06_Pancreas::Diabetes::Diabetic_Ketoacidosis !AK_UpdateTags::step2PotentialDupes::Forrest::Combine_haveValue #AK_Step2_v12::#AMBOSS::T706Oh