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DKA Dental Office Management — NDEB AFK MCQ

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ModerateMedical Emergencies in DentistryDKA Dental Office ManagementNDEB AFK

Which of the following describes the appropriate management of a patient experiencing a hyperglycaemic emergency (diabetic ketoacidosis) in the dental office?

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Correct answer: B — Activate EMS (911) immediately — DKA requires hospital-based management with IV insulin and fluids

Diabetic ketoacidosis (DKA) is a life-threatening emergency that requires hospital-based management with IV insulin infusion, aggressive IV fluid resuscitation, electrolyte replacement (especially potassium), and continuous monitoring. The dental office is NOT equipped to manage DKA. Signs include Kussmaul breathing (deep, rapid respirations), fruity ketone breath, nausea/vomiting, abdominal pain, altered consciousness, and very high blood glucose (typically >14 mmol/L). EMS should be activated immediately while supporting the patient's airway and vital signs.

Reference: Malamed – Medical Emergencies in the Dental Office, 8th ed., 2022