How to Correct Metabolic Acidosis

The important thing here is the ketone clearance and you know it says there that you should be clearing it by at least 0.5 minimoles per litre per hour. The blood pH is greater than 7.3 and the patient can eat and drink. And ideally we're going to be giving subcutaneous fast-acting insulin and a meal and stop the infusion one hour later. We mention a GCS less than 12 or abnormal on the Abapu scale - this is a really key fact isn't it? When we talk about somebody in the department having a DKA I think one of the first things that I want to know before the actual pH is what their mental status is