Definition: Metabolic anion-gap acidosis due to elevated serum ketones Diagnostic Criteria: - When DKA resolved: begin appropriate SQ insulin before Diuresis Volume Depletion Free Water Depletion Hypokalemia 1) Ketonemia 2) Hyperglycemia PROCEED TO MANAGEMENT * Patients with ESRD/Anuria may not require volume and K+ repletion. Jun 30, · DKA management protocols in clinical care. One retrospective case review study conducted in the United Kingdom revealed that, though providers were aware of the existence of a universal protocol, this did not translate into protocol adherence for a number of reasons, including patient- and clinician-related anime-rio-rainbow-gate-sub-indo-kurnia.com by: Diabetic ketoacidosis (DKA), though preventable, remains a frequent and life threatening complication of type 1 diabetes. Unfortunately, errors in its management are not uncommon and importantly are associated with significant morbidity and mortality.
Dka management protocol pdf
Most acute hospitals have guidelines for the management of DKA but it is not unusual to find these out of date and at variance to those of other hospitals. Even when specific hospital guidelines are available audits have shown that adherence to and indeed the use . Immediate management Acute management of diabetic ketoacidosis in adults This protocol is for the acute management of diabetic ketoacidosis in patients 16 years and over. If a patient has elevated BGL and ketones but is not acidotic they need to be closely monitored and agressively managed to prevent progression to DKA. Insulin therapy and correction of acidosis will cause cellular uptake of potassium. If the potassium level is in the normal range, replacement can start at 10 to 15 mEq potassium per hour. Dur ing treatment of DKA, the goal is to main tain serum potassium levels between 4 and 5 mEq per L (4 and 5 mmol per L).Replaces Existing Guideline: Management of Diabetic Ketoacidosis .. Protocol for the management of DKA, Campbelltown ICU Guidelines. 4. Wallace http:// anime-rio-rainbow-gate-sub-indo-kurnia.com on 10/10/ Determine inciting condition for the DKA. - Correct hyperglycemia (secondary goal). - When DKA resolved: begin appropriate SQ insulin before stopping Insulin . ADULT DIABETIC KETOACIDOSIS (DKA) – MANAGEMENT CHART. Surname. Reg no. Forename. Sex. Date of birth. Address. Cons. Ward/Dept. Hosp. DATE.