DKA ( sing along)

Fariez just type semula the lyric, to make it easier for u guys to sing along.
(well, if only u consider this song as a song)
happy holidays studying guys!

If a kid shows up in ketoacidosis,
u better go ahead n make the diagnosis
oftype 1 diabetes right now,
and in this case u better know how

to quickly get the kid out of this mess
cuz DKA can lead to death
grab a UA and a glucose finger prick,
n get your blood gases really quick

U should assess dehydration firstly
cuz the kid's whole body is extremely thirsty
but to keep the Glasgow score from getting low
U'd better give your fluids really slow.
If u correct too fast u'll cause edema
around the brain ,which may seem a minor problem,
but it's NOT.
cuz that brain is the only one she's got.

with DKA
some kids will say
they did'nt know they had DM

Believe what they say
cuz DKA
is the presenting complaint in 25% of them

u should also draw a set of lytes,
BUN,creatinine, and CBC, right?!
Check the anion gap, i will be high
and quickly consider other reasons why
the anion gap might be headed toward the sky
the"MUDPLES" mnemonic is worth a try
Check the blood for beta-hydroxybutyrate
and confirm the level of phosphate.

And know that total pottasium decreases
due to all the diuresis
even if serum pottasium looks high,
Due to acidemia, there's a shift
of pottasium out of cells and ultimately into piss.
Ketone n sugar draw too much water into the filtrate,
and the water drags sodium,K, n phosphate.

with DKA
u must wacth K+
n u'd better
check the other lytes too

with DKA
the signs kids display
are here for
 ur quick review~

Kussmaul respiration,
orthostatic hypotension
and distinctly fruity breath
vomitting n nausea
signs of coma
give the kid inslin to prevent death!

We've throughly discussed fluid repletion
but an insulin drip is required from completion
of correcting all the signs of DKA
As u give insulin, u should see pH
Slowly rise if u give it times
Don't give bicarb, that's a crime!
Just drip the insulin and keep checking the bicarb
it should climbs if u don't let your guard
down

With DKA,
There's a low pH
and a compensatory drop in CO2

To make DKA
just go away
u know exactly what to do

Give insulin
and run fluids in
and monitor for neuro change

U'll save the kid
and know what u did
was rescue him from pain