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Management Diabetic Ketoacidosis. Proper management of dka requires hospitalization for aggressive intravenous fluids insulin therapy electrolyte replacement as well as identification and treatment of the underlying precipitating event along with frequent monitoring of patient s clinical and laboratory states. When treating patients with dka the following points must be considered and closely. Management of diabetic ketoacidosis in adults 28 february 2014 diabetic ketoacidosis is a potentially life threatening complication of diabetes making it a medical emergency. 20 april 2020 diabetic ketoacidosis dka is an endocrine emergency occurring in new onset and established type 1 diabetic patients due to decreased circulating insulin insulin resistance and increased counter regulatory hormones.
Cornerstones of management are. The management of patients with diabetic ketoacidosis includes obtaining a thorough but rapid history and performing a physical examination in an attempt to identify possible precipitating factors. Weight based fixed rate intravenous insulin infusion friii. Fluid and potassium replacement. Diagnosis of diabetic ketoacidosis dka is based on the biochemical triad of ketonaemia hyperglycaemia and acidaemia. Diabetic ketoacidosis is an acute metabolic emergency and affected patients most commonly present with hyperglycemia anion gap metabolic acidosis and hyperketonemia.
Proper management of dka requires hospitalization for aggressive intravenous fluids insulin therapy electrolyte replacement as well as identification and treatment of the underlying precipitating event along with frequent monitoring of patient s clinical and laboratory states.
Weight based fixed rate intravenous insulin infusion friii. Diabetic ketoacidosis dka management date last published. Weight based fixed rate intravenous insulin infusion friii. When treating patients with dka the following points must be considered and closely. Diagnosis of diabetic ketoacidosis dka is based on the biochemical triad of ketonaemia hyperglycaemia and acidaemia. Managing diabetic ketoacidosis dka in an intensive care unit during the first 24 48 hours always is advisable.