THE MANAGEMENT OF DIABETIC KETOACIDOSIS IN ADULTS Clinical History • Polyuria • Polydipsia • Vomiting • Abdominal pain • Confusion • ? Known Diabetes

Clinical Signs: • Lethargy / confusion • Smell of ketones • Dehydration • Kussmaul breathing • Obtunded with any above

Biochemical Signs: • Ketones in urine • Raised blood glucose levels • Acidotic • Take blood for U&Es • Look for any underlying cause (especially occult infection)

Diagnosis Confirmed: DIABETIC KETOACIDOSIS pH