- 182.1k views
Management of Diabetic Ketoacidosis in Hospitalized Patients
The management of diabetic ketoacidosis (DKA) in hospitalized patients is a time-sensitive process that aims to correct dehydration and electrolyte imbalances, reverse the ketoacidosis, and identify and treat the underlying cause.Fluid resuscitation is the cornerstone of treatment, typically done with normal saline (0.9% sodium chloride) at a rate of 1-2 liters per hour. Once the patient is clinically stable, fluids can be switched to half-normal saline (0.45% sodium chloride) or dextrose 5% in water.Electrolyte replacement is also essential, with the most important electrolytes to replace being sodium, potassium, and phosphate. Sodium is replaced with normal saline or half-normal saline, potassium with potassium chloride, and phosphate with potassium phosphate or sodium phosphate.Insulin therapy is used to reverse the ketoacidosis, typically initiated with a bolus dose of regular insulin, followed by a continuous infusion of regular insulin. The dose of insulin is adjusted based on the patient's blood glucose levels.
About the Speaker

Dr. Yogesh Rathod
Director & Consultant Critical Care Physician Aadhar Superspeciality Pvt. Ltd and Aadhar Critical Care
Dr. Yogesh Bhimrao Rathod is a consultant critical care physician with over 10 years of experience. He is currently the director and chairman of Aadhar Superspeciality Pvt. Ltd. and Aadhar Critical Care, both located in Solapur, Maharashtra, India.Dr. Rathod has a wealth of experience in all aspects of critical care, including critical care nephrology, cardiology, neurology, and gastroenterology. He is also proficient in anesthesiology, anesthesia procedures, pain management, interventionist intensive care, internal medicine, bronchoscopy, and thoracoscopy
Upcoming Case Discussions
Preparing your Practice for Adoption of AI
Preparing Your Practice for Adoption of AI" involves building a foundation of digital literacy, data readiness, and ethical awareness among clinicians and staff. Successful integration starts with identifying key workflows where AI can enhance efficiency, accuracy, or patient outcomes. It’s essential to choose tools that align with your practice’s goals while ensuring transparency, security, and compliance. Training, change management, and continuous evaluation are critical to fostering trust and long-term adoption. Ultimately, AI should support—not replace—the human touch in medicine.
Inspiratory Muscle Training: Benefits & Techniques
Inspiratory Muscle Training (IMT) is a targeted exercise program that strengthens the muscles involved in breathing, particularly the diaphragm and intercostal muscles. It is beneficial for individuals with respiratory conditions such as COPD, asthma, and heart failure, improving lung function, reducing breathlessness, and enhancing exercise tolerance. IMT can also benefit athletes by increasing endurance and respiratory efficiency. Techniques involve the use of handheld devices that provide resistance during inhalation, with training typically performed twice daily for several weeks. Consistent practice leads to better respiratory muscle strength, improved quality of life, and greater overall physical performance in both clinical and athletic settings.
Rickets & Vitamin D Deficiency: Prevention & Treatment
Rickets, caused primarily by vitamin D deficiency, leads to impaired bone mineralization in children, resulting in bone deformities, delayed growth, and skeletal pain. Prevention involves adequate sunlight exposure, a diet rich in vitamin D and calcium, and supplementation in at-risk populations such as exclusively breastfed infants or those with limited sun exposure. Treatment includes vitamin D and calcium supplementation, correction of underlying causes, and monitoring of biochemical markers and bone health. In severe cases, high-dose vitamin D therapy may be required. Early diagnosis and intervention are crucial to prevent long-term complications and support healthy growth and development in children.
Sleep Apnea and Daytime Fatigue
Sleep Disorder Breathing is a term for a group of conditions with abnormal breathing patterns during sleep. This affects everyday functioning and well being.There are few types of SDB which include upper airways resistance, hypopnea, apnea, catathrenia and heavy snoring. People suffering with SDB can have daytime symptoms that result in poor sleep also. There can also be sleepiness, depressed mood, irritability and cognitive dysfunction.
Common Surgical Emergencies in Newborn – Case scenarios
Neonatal surgery is an emergency service; it would not be appropriate to use extremely expensive equipment and highly specialized skills for a procedure that might wait. In fact, most neonatal surgery is performed with the intention of preserving lives. New surgical techniques for the treatment of other congenital anomalies are improbable, except from the inevitable rise in operations for congenital heart disease during the newborn period. The majority of specialized neonatal surgical units have found that children do not pass away from the condition for which they were referred; instead, they pass away from severe prematurity, respiratory difficulties, and accompanying abnormalities, many of which are incurable. Any improvement in outcomes is probably going to come from ventilation.