DKA Flashcards
What is DKA?
Diabetic Ketoacidosis, a serious condition resulting from insufficient insulin.
What is the mortality rate associated with DKA over a 20 year period?
Mortality improved from 7.96% to 0.67%.
What are the three diagnostic criteria for DKA?
- Hyperglycemia
- Acidosis
- Ketones present
What is the first treatment for DKA in adults?
Fluid and electrolytes.
Why is rehydration important in DKA management?
To replace lost fluids and help correct hyperglycemia.
What is the main electrolyte that becomes deranged in DKA?
Potassium.
How often should ketones and blood sugar be monitored during DKA treatment?
Hourly.
How often should potassium and bicarbonate be monitored during DKA treatment?
Every 2 hours for the first 6 hours.
What is the recommended IV insulin infusion rate for DKA treatment?
0.1 unit/kg.
True or False: A sliding scale is used for insulin administration in DKA.
False.
What should be done if a patient with DKA is not responding to treatment?
Speak to ITU early for review.
What is a common non-diabetic cause of ketoacidosis?
Alcoholic ketoacidosis.
Fill in the blank: Continuation of a patient’s own _______ is thought to reduce the incidence of rebound hyperglycemia.
long acting insulin.
What is a significant risk associated with fast fluid replacement in DKA?
Cerebral edema.
What should be done if a patient with DKA is anuric?
Be cautious with potassium replacement.
What are the implications of patient education on DKA management?
Earlier detection and treatment initiation.
What is the role of adherence to protocols in DKA management?
It reduces the time to normoglycemia.
What is the importance of monitoring patients until they are taken by the medical team?
To ensure patient safety.
What should be referred to local DKA protocol?
Potassium replacement.
What is DKA?
Diabetic Ketoacidosis, a serious condition resulting from insufficient insulin.
What is the mortality rate associated with DKA over a 20 year period?
Mortality improved from 7.96% to 0.67%.
What are the three diagnostic criteria for DKA?
- Hyperglycemia
- Acidosis
- Ketones present
What is the first treatment for DKA in adults?
Fluid and electrolytes.
Why is rehydration important in DKA management?
To replace lost fluids and help correct hyperglycemia.
