Welcome to The Pearl Log — where post-shift wisdom surfaces, one shiny clinical take at a time. Some pearls are fresh, some are rough, all are found under pressure.
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Potpourri: Euglycemic DKA, Slit Lamp, Abd Pain in Pregnancy
A few quick takeaways from shift. Euglycemic DKA is real—new ADA criteria now allow for normoglycemia if ketones and acidosis are present. Think alcohol, SGLT2s, or pregnancy. Brush up on some slit lamp basics. And for early pregnancy with pain or bleeding, grab the probe first. If you find an IUP, congrats, then your basically done.
Pediatric DKA: A Quick Blurb
Pediatric DKA isn’t just “small adult DKA.”
Kids are often more dehydrated than they look, more prone to hypoglycemia and cerebral edema, and deserve careful, steady management. Fluids start with 10 cc/kg NS boluses, insulin runs at 0.05–0.1 U/kg/hr (never as a bolus), and electrolytes—especially potassium—must be watched closely. The two-bag system keeps glucose steady while ketoacidosis clears, balancing safety and control.