Did you know that hospital waste an incredible number of IV fluid bags every year? One of the most significant occurrences of the aforementioned waste is in DKA, where frequent changes to the dextrose concentration are needed as the acidosis is corrected with an insulin infusion. Instead of changing to a new bag each time you want to alter the glucose infusion rate you can use the two bag system. This handy video will show you how.
The two bag system for fluid administration in DKA
About the Author: Brad Sobolewski, MD, MEd
Brad Sobolewski, MD, MEd is a Professor of Pediatric Emergency Medicine and an Associate Director for the Pediatric Residency Training Program at Cincinnati Children's Hospital Medical Center. He is on Twitter/X @PEMTweets, on Instagram @BradSobolewski, authors the Pediatric Emergency Medicine site PEMBlog and is the host and creator of PEM Currents: The Pediatric Emergency Medicine Podcast. All views are strictly my own and not official medical advice.