Diabetic Ketoacidosis in the ICU

a review

The lecture duration is 28min.

0.5 CPD Points, 0.5 CEUs, 0.5 AMA PRA Category 1 Credits.
Accredited by CPDUK, CBRN and EB Medicine.

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Mahesh Ramanan
Staff Specialist in Intensive Care Medicine at The Prince Charles and Caboolture Hospitals, QLD, Australia
Lecture Summary

Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes that results from absolute or relative insulin deficiency. It can be triggered by missed insulin doses, infection or other stressors such as trauma and myocardial infarction. DKA is a syndrome of hyperglycaemia, hyperketonaemia, high anion gap metabolic acidosis, severe dehydration and electrolyte depletion. Treatment consists of addressing the trigger, and insulin, fluid and electrolyte replacement. Several unresolved questions relating to route, dose, type and rate of insulin and fluid administration persist.

Target Audience

Critical Care Doctors
Experienced or advanced Critical Care Nurses

Learning Objectives:

Upon completion of this activity, you should be able to:

  • Outline the major pathophysiological derangements that are observed in diabetic ketoacidosis at presentation
  • Outline the biochemical derangements and complications that may be seen during the treatment and recovery phase of DKA
  • Describe the key management principles of DKA

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of EB Medicine and Continulus. EB Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation

EB Medicine designates this internet-enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Needs Assessment

The need for this educational activity was determined by surveys of the target audience and experts in the specialty. Further assessment was provided by examining the topics of recently published evidence-based medicine reviews, national clinical guidelines, and specialty society recommendations, as well as suggestions from evaluations of previous learning programs to determine practice gaps.

CME Faculty Disclosure

It is the policy of EB Medicine to ensure objectivity, balance, independence, transparency, and scientific rigor in all CME-sponsored educational activities. All faculty participating in the planning or implementation of a sponsored activity are expected to disclose to the audience any relevant financial relationships and to assist in resolving any conflict of interest that may arise from the relationship. In compliance with all ACCME accreditation requirements and policies, all faculty for this CME activity were asked to complete a full disclosure statement. The speaker did not report any relevant financial interest or other relationship with the manufacturer(s) of any commercial product(s) discussed in this educational presentation.

Earning Credit

In order to earn CME credit, the participant must take the pre-test, watch the course, take the CME post-test, and complete the post-test evaluation.

Hardware/Software Requirements

Online learners will need a computer or web-enabled device to access the podcast, additional learning materials, and CME test.

Commercial Support

This activity received no commercial support.