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Medicine and Health Sciences

University of Kentucky

DNP Projects

2020

Diabetes ketoacidosis

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Evaluation Of Efficacy And Safety Of Adult Diabetic Ketoacidosis (Dka) Treatment Protocol At A Tertiary Health Care Center, Kristina Chereshnieva Jan 2020

Evaluation Of Efficacy And Safety Of Adult Diabetic Ketoacidosis (Dka) Treatment Protocol At A Tertiary Health Care Center, Kristina Chereshnieva

DNP Projects

BACKGROUND: Hypoglycemia can be a complication of diabetic ketoacidosis (DKA) protocols. This prolongs time to DKA resolution, increasing hospital stay and mortality risk. Does a revised DKA protocol reduce the incidence of hypoglycemia and reopening of the anion gap due to inappropriate transition to subcutaneous insulin? There is a lack of published data in the U.S. on factors affecting time to resolution of DKA and LOS in the ICU. This review was focused on evaluation of safety outcomes and protocol effectiveness by comparing hypoglycemia and hypokalemia events and instances of anion gap reopening for the duration of DKA treatment. …