Search

Home > Emergency Medical Minute > Podcast 667: Lactated Ringers for DKA
Podcast: Emergency Medical Minute
Episode:

Podcast 667: Lactated Ringers for DKA
Category: Science & Medicine
Duration: 00:03:07
Publish Date: 2021-05-04 10:00:00
Description:

Contributor:  Aaron Lessen, MD

Educational Pearls:

  • Recent study looked at whether lactated ringers might be a better choice for fluid resuscitation in patients with DKA compared to normal saline
  • Normal saline can cause a hyperchloremic metabolic acidosis
  • Time to resolution of acidosis was 4 hours less with lactated ringers compared to normal saline
  • Time on an insulin drip decreased by about 4 hours with lactated ringers compared to normal saline
  • LR might be a better choice for fluid resuscitation in patients with DKA

References

Self WH, Evans CS, Jenkins CA, et al. Clinical Effects of Balanced Crystalloids vs Saline in Adults With Diabetic Ketoacidosis: A Subgroup Analysis of Cluster Randomized Clinical Trials. JAMA Netw Open. 2020;3(11):e2024596. doi:10.1001/jamanetworkopen.2020.24596

Summarized by John Spartz, MS3 | Edited by Erik Verzemnieks, MD
Total Play: 0

Users also like

800+ Episodes
Radioresepsj .. 700+     10+
20+ Episodes
Lung Story S .. 70+     10+