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Euglycemic DKA
- DKA can occur without high blood sugar (euglycemic DKA).
- This can happen due to decreased glucose production or SGLT2 inhibitors.
Pre-Hospital Assessment
- Focus on a thorough history, noting DKA risk factors like illness or surgery.
- Assess breathing, circulation, and mental state for specific DKA signs.
Pre-Hospital Fluid Management
- Manage DKA pre-hospital with fluids if blood pressure is below 90 mmHg.
- Give 500 ml boluses of normal saline, reassessing after each, up to 1 liter.