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21 comments

  1. phosphodiesterase

    Great videos. If the patient is acidotic and his pH is less than 7.1, using sodium bicarbonate would help, but aren’t you limited if his kidneys are damaged because then what do you about excreting the sodium with damaged kidneys? Thanks, once again for the well put together videos.

  2. Kevin Steiner

    Isn’t the key, reducing/correcting metabolic acidosis? Now, I see this state several times a month in the ICU. Yes, rehydrate, yes monitor BGs hourly, call out of ranges per protocols for the hospital.

    How does Anion Gap play into this?

  3. nystagmus

    very good.
    but i think also, Phosphate is an important factor in DKA
    which can be incorporated into K replacement. Usually 2/3 of your potassium replacement can be KCL
    the other 1/3 can be K-phosphate

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