Users' questions

How long does it take to treat DKA?

How long does it take to treat DKA?

A blood glucose concentration of less than 200 mg per dL, a bicarbonate level of 18 mEq per L or greater, and a venous pH level of greater than 7.3 indicate that the DKA has resolved. 3 Typical duration of therapy is about 48 hours.

When should DKA protocol be stopped?

DKA is resolved when 1) plasma glucose is <200–250 mg/dL; 2) serum bicarbonate concentration is ≥15 mEq/L; 3) venous blood pH is >7.3; and 4) anion gap is ≤12. In general, resolution of hyperglycemia, normalization of bicarbonate level, and closure of anion gap is sufficient to stop insulin infusion.

How long is hospitalization for DKA?

In some studies, the average length of stay in the hospital for patients with DKA has decreased from 5.7 to 3.4 d, being longer for patients categorized in the “severe” group[2,7]. In the authors’ experience, some patients can even be discharged within 23 h of hospital admission despite an initial severe acidemia.

How long does it take for a diabetic to go into DKA?

Diabetic ketoacidosis signs and symptoms often develop quickly, sometimes within 24 hours. For some, these signs and symptoms may be the first indication of having diabetes.

Is there a DKA guideline for diabetic ketoacidosis?

DIABETIC K (DKA) Guideline No: 2015-9075 v2 Guideline: Diabetic Ketoacidosis (DKA) This document reflects what is currently regarded as safe practice. However, as in any clinical situation, there may be factors which cannot be covered by a single set of guidelines.

What are the DKA meal time insulin guidelines?

Meal Time Insulin Guidelines 1) For all ages, if the patient is not in DKA, the insulin dose should be guided by the endocrinologist with consideration of age, weight, and hyperglycemia 2) Insulin dose is calculated by total daily dose which ranges from 0.3-1 unit/kg/day depending on age and severity of hyperglycemia

When to use aseptic technique for DKA management?

• Refer to Algorithm for the management of DKA[next page]. Appropriate aseptic technique and hand hygiene is applied for all procedures involving intravenous infusions or medication injection. • This guideline for use within SCHN, including ward areas, emergency departments, intensive care units and other clinical areas.

How to care for an elderly patient with DKA?

1. Fluid overload in elderly / cardiac / renal patients – Consider CVP, caution in young and adolescent patients when not shocked 2. Difficult IV access consider external jugular vein, intraosseous or central access initially 3. Fluid deficits = 5-10L are common in DKA and HHS adults 4. Monitor haemodynamics, hydration, and urine output 5.