Search results
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
6 sie 2021 · Every hospital will have a DKA protocol, which can generally be followed. However, it's still useful to understand the broad strokes of how insulin is utilized in DKA, as described below. (#1) insulin infusion: getting started. Unless the patient is hypokalemic (K <3.3 mM), insulin should be started immediately.
22 maj 2020 · MONTEFIORE SUBCUTANEOUS INSULIN DKA PROTOCOL. This is a subcutaneous (SubQ) insulin protocol that replaces insulin drip needs for mild to moderate DKA. Procedures are adapted for COVID-related considerations of minimizing risk to staff while optimizing patient safety and health.
Transition to adult critical care insulin drip protocol, weaning insulin drip to off as able. h. Discuss conversion to home insulin therapy with rounding Physician.
intravenous insulin, cbg and ketones monitoring record sheet Guide: Only use for patients on intravenous insulin regimen (use different chart for patients on subcutaneous insulin)
Ketoacidosis/ AG persists & FS BG 70 to 150 mg/dL: Start D10W or D10NS @ 150 - 250 mL/h and/or consider reducing insulin rate by 1⁄2. Keep Serum glucose between 150 – 200 mg/dL. If cannot maintain glucose > 150 mg/dL despite D10 and diet then titrate insulin down to a minimum of 0.5 unit/hr.
CALCULATE MAINTENANCE REQUIREMENTS. Weigh patient or use recent accurate weight. 100 ml/kg/day for the first 10 kg BW. 50 ml/kg/day for the second 10 kg BW. 20ml/kg for each additional kilogram above 20 kg . Max 80 kg body weight/97th centile for age (choose lower)
