Complications with pH at 7.0 or less Diminishes respiratory minute volume May produce hypotension with peripheral vasodilatation Impairs myocardial function and increases the risk of arrhythmias. Be especially concerned if hyponatremia was present at the start of treatment as the risk of cerebral edema may be increased further. Potassium Acidosis causes increase in serum potassium secondary to the intracellular to extracellular shifts. With the osmotic diuresis, potassium can be lost in great quantities. As the acidosis resolves, potassium shifts intracellularly, so potassium needs lessen.
Frequent assessment is needed to avoid hypo or hyperkalemia.
One of the chief benefits of providing K as KPO4 is that it decreases Cl administration. Amylase Often elevated in DKA, does not always indicate pancreatitis as it is usually of salivary origin and plasma lipase is usually normal. Phosphate Acidosis causes intracellular to extracellular shifts which may cause elevated level initially. In addition, osmotic diuresis is responsible for phosphate losses. Level frequently falls during the course of therapy With replacement, can see a decrease in Mg and Ca.