A Rare and Lethal Complication: Cerebral Edema in the Adult Patient with Diabetic Ketoacidosis

Table 2

Timeline of patient course and critical events. Cerebral edema likely began to develop at hour 4.5 when patient began to complain of headache.

Time (hours)	Event
0	Initial evaluation and elevated glucose on finger stick glucometer
1	Femoral central venous catheter placed, 2 L 0.9% normal saline started, initial labs drawn and sent for analysis
2	Initial labs result
2.5	Insulin drip started at dose of 0.1 U/kg
4.5	Insulin drip dose reduced, patient complains of headache
5.5	Patient becomes unresponsive and is intubated
6	CT head without contrast shows cerebral edema
28	Patient has first cardiac arrest with successful return of spontaneous circulation
33	Patient expires