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Dka Chart

1. The document provides a checklist for diagnosing and treating diabetic ketoacidosis (DKA). It includes sections to record vital signs, lab values, severity criteria, insulin and fluid administration protocol, and resolution criteria. 2. The checklist notes that DKA is diagnosed when the patient's pH is less than 7.35, bicarbonate is less than 15, they have a previous diabetes diagnosis, and ketones are present in their urine. 3. Treatment involves administering insulin and intravenous fluids based on the patient's blood glucose level, with the goal of resolving DKA by getting glucose below 200 mg/dL and improving bicarbonate and pH values.

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عمر احمد شاكر
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57 views

Dka Chart

1. The document provides a checklist for diagnosing and treating diabetic ketoacidosis (DKA). It includes sections to record vital signs, lab values, severity criteria, insulin and fluid administration protocol, and resolution criteria. 2. The checklist notes that DKA is diagnosed when the patient's pH is less than 7.35, bicarbonate is less than 15, they have a previous diabetes diagnosis, and ketones are present in their urine. 3. Treatment involves administering insulin and intravenous fluids based on the patient's blood glucose level, with the goal of resolving DKA by getting glucose below 200 mg/dL and improving bicarbonate and pH values.

Uploaded by

عمر احمد شاكر
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Name Age welght


DKA check list
VITALS
BP PR
SPO2 TEMP

R.B.S RR
Is the patientshocked: YES NO
DKA criteria must be present:
PH (PH&7.35) HCO3 (HCO3<15)
Previously diagnosed DM Ketonein urine (Two ++)
R.B.S
(note that ketone kit in our lab test only for AcCAC acetoacetic acid (AcAc), in setting of DKA we need to
check for the primaryketone bodies B-hydroxybutyrate(BHB) which is not availableon ourlab)_
baseline investigation
Anion gap serumosmolality
anion gap=Na -(Cl+HCO3)(normal anion gap 8-14)
serum osmolality = 2 x (Na) + (glucose/18) + (blood urea nitrogen/2.8)
normal range: 275 to 29
Values 300 are usually indicative of significant hyperosmolality,
and those >320 are commonlyassociated with alterationsincognitive function.
CBC
HB WBC PLT
S.ELECTROLYTES:
S.k S. NA
S. CA S. CI

corrected sodium(Na)
correctedsodium (Na) =measured Na level +{1.6 x(glucose -100)/100
RENALFUNCTION
|UREA |CREATNIN
Didyou give DVT or venous thromboembolism prophylaxis: YES NO
DkA severity: Mild Moderate Severe
Name: Age: weight:
R.B.S INSULIN FLUIDTYPE
R.B.S >2550 0.9%N/S
R.B.S (250-150) G/S (5% dextrose + 0.45% NS)

R.B.S <150 10% of dextrose


Urine
Time R.B.S Insulin Fluid Amount of fluid K+| notes
Output
XXXX 2 pints (1000 ce)XX
1pint(500cc)
1 pint (500cc)
1 pint (500cc)
1 pint (500cc)

pint (250cc
% pint (250cc)
% pint (250cc)

9 % pint (250cc)

10 %pint (250cc
h pint (250cc)

12 %pint (250cc)
% pint (250cc)

4 % pint (125cc)

5 %pint (125cc
16 4 pint(125cc)
17 4 pint (125cc)
18 Mpint (125cc)

19 4 pint (125ce)

20 %pint(125c)
21 %pint (125cc)
22 %pint (125cc)
resolution of DKA-glucose <200 milligrams/dL (<1I mmol/L) and two of the following: a serum bicarbonate level >15 mËEq/L., a
VenouspH>7.3, and/or a normal calculated anion gap
Prepare 5% dextrose in 0.45% saline: put 25 cc of hypertonic glucose 50% in 2.5% dextrose in
0.45%saline ll//Prepare 10% dextrose from 59% dextrose by adding 50 cc of hypertonic 50%

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