Which treatment is critical for a patient experiencing diabetic ketoacidosis?

Prepare for USMLE Step 1 Pathology Exam with comprehensive quizzes, flashcards, and detailed explanations. Enhance your understanding and be exam-ready!

In the context of diabetic ketoacidosis (DKA), the critical components of treatment involve the administration of fluids, insulin, and potassium. DKA is characterized by severe insulin deficiency, leading to hyperglycemia, ketone body production, and metabolic acidosis.

The administration of fluids is essential to address dehydration caused by osmotic diuresis due to the high blood glucose levels. Restoring fluid volume helps to improve renal function and facilitate the clearance of glucose and ketones.

Insulin is crucial as it helps to reduce blood glucose levels and inhibits ketogenesis, leading to the resolution of ketoacidosis. Administering insulin alongside fluids allows for effective management of hyperglycemia and aids in the correction of acidosis.

Potassium supplementation is vital because the metabolic disturbances associated with DKA can lead to significant alterations in potassium levels. Insulin drives potassium back into the cells, which can result in hypokalemia. Therefore, monitoring and replacing potassium as needed is a key part of the management protocol.

The other options do not address the primary physiological derangements present in DKA. While antibiotics may be necessary if there is an underlying infection, they do not directly contribute to correcting the metabolic state of DKA. Steroids and anti-inflammatory medications

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy