DKA NEW CRITERIA 2024

Question 1

Describe the glucose level criteria for diagnosing DKA.

Answer 1

Glucose level must be greater than 200 mg/dl (11.1 mmol/l) or there must be a prior history of diabetes.

Question 2

Define ketosis in the context of DKA diagnosis.

Answer 2

Ketosis is indicated by a 3-hydroxybutyrate level greater than 3.0 mmol/l or a urine ketone strip reading of 2+ or greater.

Question 3

How is metabolic acidosis determined in DKA diagnosis?

Answer 3

Metabolic acidosis is determined by a pH level of less than 7.3 and/or a bicarbonate concentration of less than 18 mmol/l.

Question 4

What are the three main criteria for diagnosing DKA?

Answer 4

The three main criteria are diabetes/hyperglycemia, ketosis, and metabolic acidosis.

Question 5

Explain the significance of a pH level below 7.3 in DKA.

Answer 5

A pH level below 7.3 indicates metabolic acidosis, which is a critical component of DKA diagnosis.

Question 6

How does a urine ketone strip reading contribute to DKA diagnosis?

Answer 6

A urine ketone strip reading of 2+ or greater indicates the presence of ketosis, which is necessary for DKA diagnosis.

Question 7

What role does prior history of diabetes play in DKA diagnosis?

Answer 7

A prior history of diabetes can fulfill the glucose criteria for diagnosing DKA, even if the current glucose level is not measured.