What is the primary treatment for Diabetic Ketoacidosis (DKA)?

The primary treatment for Diabetic Ketoacidosis (DKA) involves a comprehensive approach that includes insulin administration, fluid replacement, and potassium replacement.

Insulin is crucial as it helps lower blood glucose levels and facilitates the movement of glucose into the cells, addressing both hyperglycemia and ketosis. However, administering insulin alone is insufficient without ensuring adequate fluid resuscitation. Patients with DKA often present with dehydration due to osmotic diuresis and must receive intravenous fluids to restore hydration and electrolyte balance.

Potassium replacement is also essential since insulin therapy can cause a shift of potassium into the cells, potentially leading to hypokalemia. Monitoring and replacing potassium helps to prevent complications related to electrolyte imbalances.

This multifaceted treatment approach effectively addresses the metabolic derangements present in DKA, thus making it the standard of care. Other options like using either insulin or fluids alone do not adequately treat the condition and could leave significant issues unaddressed. Oral medications are not suitable in this acute setting due to the severity of DKA.