Complications

• Acidosis: Elevated AG (Consider concurrent lactic acidosis)

• HCMA (Consider Dilutional Acidosis, Urinary Ketone Loss, HCO3 Loss- GI/Renal

• Hypoglycemia: Over zealous Insulin w/o Glucose

• Hypernatremia: Failure to correct free water deficit

• Hypovolemic Chock/ARF: Failure to give adequate NS; *Insulin

• Infection: Acidosis-induced block in binding of FE to TIBC

• Thrombosis: Hemoconcentration; Increased Factor VIII

• Cerebral Edema: Decreased CNS Perfusion (Low CO2, High BUN, HCO3)