DKA,”Insulin deficiency results in excess glucagon and epinephrineLab-Glucose > 450 –> osmotic diuresis –> dehydration-Ketonuria-Metabolic acidosis (serum pH < 7.3 HCO < 15)-Increased anion gap-Pseudohyponatremia (high glucose shifts water ICF --> ECF)-Hyperkalemia-Low PO4 and MgTreat-Insulin to close anion gap and correct acidosis-Fluid NS –> Add 5% glucose once glucose <250Complication-Cerebral edema if glucose is reduced to quickly"