University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Critical Care


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.


Available when accessing via a campus IP address or logged in with a University of Lynchburg email address.

Off-campus users can also use 'Off-campus Download' button above for access.