Bicarb in ketoacidosis

I don't personally use bicarb for metabolic acidosis from dka or aka... but the intensivists and culture at my hospital is to do it for just about any acidosis. Thoughts? Case example: Had a pt with AKA with pH 6.9 pCO2 30 something +kussmaul respirations.. I pushed D5LR as she had a metabolic and respiratory acidosis I didn't feel comfortable giving bicarb. Obviously when she arrived to the ICU it was immediately given without a second thought.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Emergency Medicine Source Type: forums