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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
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)
Multiply current infusion rate by number provided in table. The result is your new insulin drip rate. Ex: Current insulin rate = 7 units/hours Previous blood glucose = 250 New blood glucose = 125 Calculative from chart = 0.5 x current rate of 7 units/hours New rate = 3.5 units/hour.
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.
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.
DKA is associated with a significant morbidity and mortality and must be diagnosed promptly and managed intensively. DKA is a complex disordered metabolic state characterised by ketonaemia, hyperglycaemia and metabolic acidosis. This results from absolute or relative insulin deficiency accompanied by an increase in
22 maj 2020 · 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.
