Ketoacidosis with mild hyperglycemia or even normal blood glucose ("normoglycemic" DKA) has become more common with the increased use of sodium-glucose cotransporter 2 [SGLT2] inhibitors. The treatment of DKA in adults will be reviewed here.

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.

2023年7月10日 · Fluid resuscitation and maintenance, insulin therapy, electrolyte replacement, and supportive care are the mainstays of management in diabetic ketoacidosis. Hydration. In patients with DKA, the fluid deficit could be up to 10-15% of the body weight.

2024年6月22日 · Early diagnosis and management of DKA and HHS are essential to improve outcomes. The mainstays of treatment of DKA and HHS are fluid replacement, insulin therapy, electrolyte repletion, and treatment of underlying precipitating events.

There are several important steps that should be followed in early management: Fluid therapy should be started immediately after initial laboratory evaluations. Infusion of isotonic solution of 0.9% sodium chloride at a rate of 1.0 to 1.5 L/hour should be …

Elements of management include making the appropriate diagnosis using current laboratory tools and clinical criteria and coordinating fluid resuscitation, insulin therapy, and electrolyte replacement through feedback obtained from timely patient monitoring and knowledge of resolution criteria.

2021年8月6日 · DKA management checklist diagnostic evaluation . Minimum evaluation for a patient with DKA: Electrolytes including Ca/Mg/Phos, complete blood count with differential, urinalysis, EKG, pregnancy test as appropriate. If unclear whether patient has DKA: beta-hydroxybutyrate & lactate levels.

2022年10月6日 · If you're diagnosed with diabetic ketoacidosis, you might be treated in the emergency room or admitted to the hospital. Treatment usually involves: Fluids. Fluids replace those lost through too much urinating. They also thin out the blood sugar. Fluids can be given by mouth or through a vein. When given through a vein, they're called IV fluids.

2024年3月21日 · Managing diabetic ketoacidosis (DKA) in an intensive care unit during the first 24-48 hours always is advisable. When treating patients with DKA, the following points must be considered and...

Cornerstones of management are: fluid and potassium replacement; weight-based fixed rate intravenous insulin infusion (FRIII); and close biochemical monitoring of capillary ketones, serum electrolytes, venous pH and capillary glucose.