In this episode, we cover the anatomy of a DKA resuscitation. Check the post out for some juicy pearls. As always, the pitfalls: Missing an underlying cause of DKA, especially sepsis.  The primary cause of death among patients admitted with DKA isn't the DKA itself, but rather associated conditions (mostly sepsis). Bolusing large volumes of normal saline will make the patient more acidotic.  This is generally not a major problem, but it can be for the patient who starts out severely acidotic at baseline.