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DKA Diagnostic Criteria: DKA Diagnostic Criteria: Start IV fluids (1 L of 0.9% NaCl per hr initially) If serum K+ is <3.3 mEq/L hold insulin. Initiate DKA Order Set Phase I (*In PREGNANCY utilize OB DKA. order set) Start insulin 0.14 units/kg/hr IV infusion (calculate dose)
Proper management of DKA includes prompt initiation of IV fluids, insulin therapy, electrolytes replacement and recognition and treatment of precipitating causes. Close monitoring of patient's condition by regular clinical and laboratory data and the use of management protocols help ensure better outcomes.
Kidshealthwa | DKA Calculator. NOTE: It is the responsibility of the treating clinician to check patient's date of birth and weight are correct. Calculations should be double checked before prescribing fluid and insulin. Fluid rate equals (2 x daily maintenance + deficit) ÷ 48.
Key DKA management points Start intravenous fluids before insulin therapy. Potassium level should be >3.3 mEq/L before the initiation of insulin therapy (supplement potassium intravenously if needed). Administer priming insulin bolus at 0.1 U/kg and initiate continuous insulin infusion at 0.1 U/kg/h.