IV Fluids and Electrolyte Management — DKA, Hyperkalaemia and Sodium Correction

⚕️
Clinical Disclaimer & Senior Involvement
Decision support only — it does not replace clinical judgement. Verify every dose and rate against your local guideline and the current BNF before use, and confirm with a senior clinician in organ dysfunction, complex comorbidity or an atypical presentation.
🔴 Escalate early to anaesthetics / ITU: DKA pH <7.10 · K⁺ >6.5 or ECG changes · hyponatraemia with neurological compromise · shock unresponsive to initial resuscitation · burns >15% TBSA · need for vasopressors or invasive monitoring · paediatric DKA with any concern for cerebral oedema.
For use by registered medical practitioners only · resusdoc.uk · JBDS 2023 · BSPED 2021 · NICE · UKKA 2023
For registered physicians only — clinical decision support. All protocols reference JBDS 2023, BSPED 2021, NICE, UK Kidney Association, BTS as cited. Always apply clinical judgement. Software may contain errors — verify critical values independently. resusdoc.uk