Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
Time-critical stabilization
Airway protection triggers
GCS decline
Refractory vomiting with aspiration risk
Breathing support
Kussmaul respirations with fatigue
Hypoxemia with pulmonary edema concern
Circulation priorities
Two large-bore IV lines
Cardiac monitor
Resuscitation bay triggers
SBP < 90 mmHg after initial fluid
Altered mental status
Suspected cerebral edema
Immediate bedside data
Point-of-care glucose
Point-of-care ketones if available
First 15 minutes
Early decisions
DKA suspected criteria
Hyperglycemia
Ketosis
Anion gap metabolic acidosis
Hyperosmolar state overlap
Marked hyperglycemia with minimal acidosis
Effective osmolality elevation
Shock differentiation
Hypovolemic pattern
Sepsis pattern
Trigger search
Infection
Insulin omission or pump failure
Monitoring and targets
Physiologic targets
Perfusion endpoints
Improving mentation
Urine output 0.5 mL/kg/hour
Glucose fall target with insulin
3 to 4 mmol/L/hour
Anion gap closure endpoint
Anion gap normalization
Beta-hydroxybutyrate downtrending
Potassium safety window
Maintain 4.0 to 5.0 mmol/L during insulin therapy
Frequent reassessment cadence
Vitals at least q15 to q30 minutes during initial resuscitation
Bedside glucose q1 hour on IV insulin
Key concepts
High-risk features
Severe acidosis
pH < 7.0
Bicarbonate < 10 mmol/L
Neurologic risk
Headache
Declining consciousness
Electrolyte risk
K < 3.3 mmol/L
Phosphate very low with weakness
Special circumstance risk
Pregnancy
Pediatrics
Treatment hazards
Cerebral edema risk with rapid osmolality shifts
Hypoglycemia with delayed dextrose addition
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.