Treatment practices of diabetic ketoacidosis at a large teaching hospital

被引:4
作者
Ferreri, Ruth [1 ]
机构
[1] Eastern Connecticut Hlth Network, Manchester, CT 06040 USA
关键词
diabetic ketoacidosis; hyperglycemia; insulin; protocol;
D O I
10.1097/01.NCQ.0000313764.64149.6d
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
A retrospective chart review of 55 medical records of adults treated for diabetic ketoacidosis (DKA) identified areas of treatment that delayed the improvement of DKA. There was a positive correlation between time to initiation of insulin infusion and resolution of anion gap. Sixty-six percent of cases did not have the recommended overlap between intravenous and subcutaneous insulin. Opportunity exists to educate nurses as experts to partner with their physician colleagues to manage DKA.
引用
收藏
页码:147 / 154
页数:8
相关论文
共 50 条
[21]   Evaluation of NovoRapid infusion as a treatment option in the management of diabetic ketoacidosis [J].
Kwok, Raylene ;
Sztal-Mazer, Shoshana ;
Hopkins, Ria E. ;
Poole, Susan G. ;
Grannell, Louise ;
Coutsouvelis, John ;
Topliss, Duncan J. .
INTERNAL MEDICINE JOURNAL, 2017, 47 (11) :1317-1320
[22]   Examining the "Killer K" of Diabetic Ketoacidosis at a Tertiary Care Hospital: An Exploratory Study [J].
Wong, Bertha ;
Cheng, Amy ;
Yu, Catherine ;
Goguen, Jeannette .
CANADIAN JOURNAL OF DIABETES, 2016, 40 (03) :204-209
[23]   Treatment of hyperglycaemia in diabetic ketoacidosis: natura non facit saltus [J].
Spoelstra-de Man, A. M. E. ;
van der Heiden, P. ;
Spijkstra, J. J. ;
Verheijen, A. T. W. M. ;
Kooter, A. J. .
NETHERLANDS JOURNAL OF MEDICINE, 2014, 72 (01) :54-58
[24]   Adherence to a pediatric diabetic ketoacidosis protocol in children presenting to a tertiary care hospital [J].
Ronsley, Rebecca ;
Islam, Nazrul ;
Ronsley, Claire ;
Metzger, Daniel L. ;
Panagiotopoulos, Constadina .
PEDIATRIC DIABETES, 2018, 19 (02) :333-338
[25]   Management of diabetic ketoacidosis [J].
Jivan, D. .
JOURNAL OF ENDOCRINOLOGY METABOLISM AND DIABETES OF SOUTH AFRICA, 2011, 16 (01) :10-14
[26]   Knowledge and Awareness of Diabetes and Diabetic Ketoacidosis (DKA) Among Medical Students in a Tertiary Teaching Hospital: An Observational Study [J].
Singh, Harmanjit ;
Thangaraju, Pugazhenthan ;
Kumar, Suresh ;
Aravindan, U. ;
Balasubramanian, Hariharan ;
Selvan, Tamil .
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2014, 8 (04) :HC4-HC6
[27]   Epidemiological profiles of diabetic ketoacidosis in the Emergency Department [J].
Jouini, Sarra ;
Aloui, Asma ;
Slimani, Olfa ;
Hebaieb, Fatma ;
Ben Kaddour, Rym ;
Manai, Hela ;
Hedhli, Hana .
PAN AFRICAN MEDICAL JOURNAL, 2019, 33
[28]   Cognitive dysfunction associated with diabetic ketoacidosis in rats [J].
Glaser, Nicole ;
Anderson, Steve ;
Leong, Wesley ;
Tancredi, Daniel ;
O'Donnell, Martha .
NEUROSCIENCE LETTERS, 2012, 510 (02) :110-114
[29]   Severe diabetic ketoacidosis: the need for large doses of insulin [J].
Fisken, RA .
DIABETIC MEDICINE, 1999, 16 (04) :347-350
[30]   A case of diabetic ketoacidosis after everolimus treatment [J].
Kubo, Fumiyo ;
Takahara, Mitsuyoshi ;
Yasuda, Tetsuyuki ;
Shimo, Naoki ;
Matsuoka, Taka-aki ;
Shimomura, Iichiro .
ACTA DIABETOLOGICA, 2016, 53 (05) :861-862