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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
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.
Add Dextrose (D51⁄2NS or D5NS*) to IVF @ 150 – 250 mL/h to maintain serum glucose 150 – 200 mg/dL and continue insulin at same rate. Titrate insulin to a minimum 0.1 Units/kg/hr and glucose goal between 150 – 200 mg/dL until ketosis and anion gap resolves.
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.
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.
I. Utilizing the DKA INFUSION CALCULATOR tab, administer insulin bolus doses; adjust the insulin infusion and adjust the Dextrose 5% with 0.45% NaCl infusion. Repeat glucose at
Commence an IV Insulin infusion 1-2hrs after starting IV fluid therapy due to expected fall in blood glucose Start soluble insulin infusion at 0.05 - 0.1 units/kg/hr Expect K+ levels to fall with insulin infusion Monitor 1 -2hrly Glu/Ketones and Lab U&E If < 3.0mmol - may require central access
