Jun 30, 2014 · Diabetic ketoacidosis (DKA) is a rare yet potentially fatal hyperglycemic crisis that can occur in patients with both type 1 and 2 diabetes mellitus. Due to its increasing incidence and economic impact related to the treatment and associated morbidity, effective management and prevention is key. Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS, also known as hyperosmotic hyperglycemic nonketotic state [HHNK]) are two of the most serious acute complications of diabetes. They are part of the spectrum of hyperglycemia, and each represents an extreme in the spectrum.
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. Diabetic ketoacidosis can occur in persons of all ages, with 14 percent of cases occurring in persons older than 70 years, 23 percent in persons 51 to 70 years of age, 27 percent in persons 30 to.
Ketoacidosis/ AG persists & FS BG 70 to 150 mg/dL: Start D 10W or D 10NS @ 150 - 250 mL/h and/or consider reducing insulin rate by ½. - 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 Ketoacidosis/ AG persists & FS BG. May 29, 2019 · Diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome (HHS) are life threatening complications that occur in patients with diabetes. In addition to timely identification of the precipitating cause, the first step in acute management of these disorders includes aggressive administration of intravenous fluids with appropriate replacement of electrolytes (primarily potassium).