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Evaluation of Diabetic Ketoacidosis Treatment Protocols: A Literature Review

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Added on  2019-09-25

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This literature review evaluates two articles that discuss Diabetic Ketoacidosis (DKA) treatment protocols. The paper identifies and develops evidence-based treatment guidelines for DKA. The article also discusses the diagnosis of DKA, fluid resuscitation, electrolyte management, and insulin drip. The authors emphasize the importance of education for patients to manage their insulin levels during their stay away from the hospital.

Evaluation of Diabetic Ketoacidosis Treatment Protocols: A Literature Review

   Added on 2019-09-25

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LITERATURE REVIEW 1 LITERATURE REVIEW Student Name: Student ID: Course Name: Course ID: Faculty Name: University Name:
Evaluation of Diabetic Ketoacidosis Treatment Protocols: A Literature Review_1
LITERATURE REVIEW 2LITERATURE REVIEWDiabetic Ketoacidosis (DKA) is a life-threatening emergency condition; the main symptoms are insulin deficiency and high levels of sugar in the body. Diabetic ketoacidosis is most common in type 1 Diabetes but it is also found in type 2 diabetes. In this paper, we will evaluate two articles that discuss DKA treatment protocols. (American Diabetes Association (2004).George S. And Dolores of University of Utah has described the treatment of diabetic ketoacidosis in the emergency .As we know that untreated Diabetes causes DKA which is themost severe complication. It is life threatening in nature hence serious and effective measuresare required. In this ,treatment with varying amount of fluid replacement and insulin is done. The main objective of the project is to identify and develop evidence based treatment guideline for DKA. The diagnosis of DKA is by serum bicarbonate level <18mEq/L , pH< 7.3, ketonemia and ketonuria , an anion gap > 10, and blood glucose >250. Here the key of treatment is fluid resuscitation. Intervascular , intercellular and interstitial volumes are corrected . Different authors have different approaches in this. (Arora et al 2011)Electrolyte management is also the fundamental part of DKA. The most followed practise is insulin drip which has been followed and accepted by almost everyone with few variations. Dr R D Hardern , Department of Accident and Emergency Medicine , The general Infirmary ,Great George street has carried out on Medline and the Cochrane Databases using DKA. Thetreatment includes four things. Fluid, Insulin, potassium and Education. A catheter is installedin patients who are hemodynamically unstable and required measurement of urinary output.
Evaluation of Diabetic Ketoacidosis Treatment Protocols: A Literature Review_2

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