Other Considerations
Bicarbonate[45-52]
- There is evidence that when used in DKA the risk of cerebral oedema is increased
- Do not given IV sodium bicarbonate to young people with DKA
Phosphate
- Intracellular ion that is depleted during DKA (~0.5-2.5mmol/kg) [38-40,53]
- There is no evidence that correction improves outcome & in fact may result in hypocalcaemia[54-59]
Risk of venous thrombosis[22,25]
- Be aware there is significant risk of DVT in patients who have a femoral venous line in situ