Thomas Colletti, DHSc, PA-C, DFAAPA
Diabetic Ketoacidosis (DKA) is a life-threatening condition that is characterized by uncontrolled hyperglycemia, an anion gapped lactic acidosis, and ketonemia. The US has seen a steady increase in the incidence of DKA. Quickly identifying and treating this life threatening condition is paramount to patient recovery. Studies have shown that correction of electrolyte, hyperglycemia, and managing pH. Multiple guidelines and hospital driven protocols have been published with differing electrolyte management, fluid type, and tailoring insulin therapy. Given the increase in cases, it is important to review and update best practice guidelines for the inpatient treatment of DKA. Further research is needed to determine a concise guideline to include fluid management, electrolyte correction, insulin regimen, and pH balancing in order to reduce inpatient hospital length of stays and improve overall patient outcomes.
Corella EM. Clinical Review of Diabetic Ketoacidosis. Lynchburg Journal of Medical Science. 2023; 5(1).
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