DKA resus scenario
adult DKA
- Washes hands, introduces self
- Clarifies team competencies
- Takes handover and brief history
- Past medical history
- Drug history and allergies
- Airway assessment
- Breathing assessment
- Circulation - IV access, bloods
- Starts fluid resuscitation before starting fixed rate insulin
- prepares fixed rate insulin 0.1 units/kg/h
- Disability - checks for signs of raised ICP
- Exposure
- Recognises DKA
- Requests appropriate investigations to investigate trigger for DKA
- Escalates to specialty - specialist diabetes team
- Leads team well