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Diabetic ketoacidosis (DKA) is a frequent and potentially life-threatening complication of type 1 diabetes. Though preventable and despite advances in monitoring technologies, insulin therapeutics and insulin delivery systems, the rates of both community and hospital acquired DKA remain largely unchanged. Although mortality today is relatively
Starting the Insulin Drip . If patient is in DKA: Weight of patient in KG __________ X 0.1 units= __________ units/hour . Directions. Check blood glucose every hour and adjust according to the table provided below. Multiply current infusion rate by number provided in table. The result is your new insulin drip rate.
- Correct ketosis and acidosis with continuous insulin - Replace electrolyte deficits* - Replace free water deficit* - Prevent hypoglycemia - Determine inciting condition for the DKA - Correct hyperglycemia (secondary goal) - When DKA resolved: begin appropriate SQ insulin before stopping Insulin drip PATHOPHYSIOLOGY Acidemia Osmotic Diuresis
6 sie 2021 · Diabetic Ketoacidosis (DKA) August 6, 2021 by Josh Farkas. CONTENTS. Rapid Reference. Getting started. Evaluating anion gap & ketoacidosis. Definition & severity of DKA. Evaluating the cause of DKA. Core components of DKA resuscitation. Fluid administration. Electrolyte management. Insulin infusion. Long-acting, basal insulin.
*The BCCH DKA Medical Protocol can also be downloaded in fillable PDF format from our website: www.bcchildrens.ca/endocrinology-diabetes-site/documents/dkaprtfill.pdf
Document in special instructions section of the IV insulin order form that the patient is on DKA protocol. Use any soluble insulin eg: Actrapid, Humulin R. Concentration should be 50 units of insulin in 49.5mL 0.9% sodium chloride through a syringe driver. Step 4 - Continuation of intravenous insulin Long acting (basal) subcutaneous insulin can be
DKA is a life threatening acute complication of diabetes which is usually characterized by hyperglycemia, dehydration and acidosis. The cause of DKA is a deficiency of insulin, with
