diabetestalk.net

What Is Mild Dka?

Share on facebook

Mild Dka | Observation Medicine Protocols

Many studies have DKA resolving in under 16 hours with SQ insulin alone All orders and protocol assumes previous treatment in the ED setting ED work up must include VBG, CMP and evaluation for other causes of DKA if patient does not meet DKA criteria, please consider use of Hyperglycemia pathway Persistently abnormal vital signs after 2L NS (SBP<100, HR >130, RR>24; MAP<60) pH < 7.0 (pH values between 7.0 and 7.14 should be clinically evaluated prior to acceptance) Acute co-morbidity / precipitant (infection, MI, surgery, trauma) No direct admits to the unit. Definition of DKA must occur prior to placement in observation status. Electrolyte replacement protocols of magnesium and potassium BMP and Beta Hydroyxybutyrate on unit admission Q 4 hour BMP, beta hydroxybutyrate and VBG. When Blood Sugar is under 250 (but still in DKA) Fluids changed to D5 1/2NS at 125-250ml/hr Criteria: BS <250; pH >7.3; Anion gap normal (<14); Bicarbonate normal (>18) Patient received home long-acting insulin Transition to subQ home dosing of insulin 0.1u/kg novolog + patients home long acting insulin If patient has not eaten yet, should be given food If possible, dose home insulin and bolus before the n Continue reading >>

Share on facebook

Popular Questions

  1. gurveer1992

    confused ???? keto and exercise

    hi guys.. its end of my 3rd day on CKD. i havent lost any weight yet but my mouth is staying dry regularly and on my ketostix strip it coming to a pink colour......
    as many say that CKD is muscle sparing, is it ok just to do cardio 5 times a week for the duration of 30-40 mins on low-medium intensity?????
    i dont count my calories but i know im eating more fat the protein and no carbs
    also i also know that its below my maintainence level..
    so just cardio or will i lose muscle by doing cardio alone??
    thanks for your time and sorry for repeated questions!!!!

  2. devildogJMS

    You can do cardio, you can lift weights, you can do both as long as your exercising you will burn calories.

  3. gurveer1992

    Originally Posted by devildogJMS
    You can do cardio, you can lift weights, you can do both as long as your exercising you will burn calories.


    thanks and more replies are appreciated peeps so keep adding more to this thread!!!
    thanks for your time

  4. -> Continue reading
read more close

Related Articles

Popular Articles

More in ketosis