Scribd
Upload
45 views

DKA Protocol SQUH

Uploaded by

imanh0285
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
45 views

DKA Protocol SQUH

Uploaded by

imanh0285
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 10

Sultan Qaboos University Hospital

Department of Medicine

DOCUMENT NAME: DIABETIC KETOACIDOSIS (DKA) DOCUMENT NO:


MED-END-PRO-001
VERSION NO : 03 ORIGINATED DATE: 31/12/2013 REVISION DATE: 30/8/2020

DIVISION/SECTION: Endocrinology DUE REVISION DATE: 30/8/2023

NAME TITLE SIGNATURE DATE

DR. SUNEEL KUMAR SENIOR


16/9/2020
ORIGINATOR: SPECIALIST

16/9/2020
DR. SUNEEL KUMAR SENIOR
REVIEWED BY: SPECIALIST

HEAD, 17/9/2020
VERIFIED BY: DR. ALI MAMARI
ENDOCRINE
22/9/2020
APPROVED BY: DR.ABDULLA BALKHAIR
HOD, MEDICINE

Amendments

Date Page (s) Comments


30/8/2020 1 SEVERITY CRITERIA ADDED

‘ 7 TRANSITION TO SUBCUTANEOUS INSULIN ADDED

‘ 8 TRANSITION TO DISCHARGE ADDED

‘ 9 FLOW CHART ADDED

Document once printed considered to be uncontrolled copy

Page1 of 10
Sultan Qaboos University Hospital

Department of Medicine

DOCUMENT NAME: DIABETIC KETOACIDOSIS (DKA) DOCUMENT NO:


MED-END-PRO-001
VERSION NO : 03 ORIGINATED DATE: 31/12/2013 REVISION DATE: 30/8/2020

CONTENTS

________________________________________________________

1. PURPOSE: TO PROVIDE MEDICAL STAF INFORMATION ON

MANAGEMENT OF DKA (DIABETIC KETOACIDOSIS)

2. SCOPE: MEIDCAL WARDS AND ACCIDENT AND EMERGENCY ROOM CARE

3. DEFINITIONS\ABBREVIATIONS

a. DKA- DIABETIC KETOACIDOSIS

b. AG- ANION GAP

c. BG – BLOOD GLUCOSE

d. HCO3 – BICARBONATE

e. FBC – FULL BLOOD COUNT

f. ECG – ELECTROCARDIOGRAM

g. PE – PULMONARY EMBOLISM

h. NS – NORMAL SALINE

i. K – POTTASIUM

j. NAHCO3 – SODIUM BICARBONATE

k. KCL – POTTASSIUM CHOLORIDE

4. CRITERIA: ALL PATIENTS WITH DKA

5. THE DOCUMENT: PLEASE SEE THE ALGORYTHM

Document once printed considered to be uncontrolled copy

Page2 of 10
Sultan Qaboos University Hospital

Department of Medicine

DOCUMENT NAME: DIABETIC KETOACIDOSIS (DKA) DOCUMENT NO:


MED-END-PRO-001
VERSION NO : 03 ORIGINATED DATE: 31/12/2013 REVISION DATE: 30/8/2020

DIAGNOSTIC CRITERIA

Blood glucose > 13.9 mmol Can be normal in euglycemic DKA


May be mildly elevated in severe DKA due to
Venous PH < 7.3 metabolic alkalosis
Can drop on hydration due to combined metabolic
HCO3, < 18 mmol acidosis
AG > 12
Urine ketones Can be normal or low in severe DKA.
++ or above Only for diagnostic not prognostic
Serum ketones > 3 mmol /L

DKA SEVERITY CRITERIA

Condition Mild Moderate Severe


pH 7.25-7.3 7.1-7.24 <7.0
HCO3 15-18 10-15 <10
AG >10 > 12 >12
Sensorium Alert Alert\Drowsy Drowsy

Document once printed considered to be uncontrolled copy

Page3 of 10
Sultan Qaboos University Hospital

Department of Medicine

DOCUMENT NAME: DIABETIC KETOACIDOSIS (DKA) DOCUMENT NO:


MED-END-PRO-001
VERSION NO : 03 ORIGINATED DATE: 31/12/2013 REVISION DATE: 30/8/2020

Document once printed considered to be uncontrolled copy

Page4 of 10
Sultan Qaboos University Hospital

Department of Medicine

DOCUMENT NAME: DIABETIC KETOACIDOSIS (DKA) DOCUMENT NO:


MED-END-PRO-001
VERSION NO : 03 ORIGINATED DATE: 31/12/2013 REVISION DATE: 30/8/2020

Document once printed considered to be uncontrolled copy

Page5 of 10
Sultan Qaboos University Hospital

Department of Medicine

DOCUMENT NAME: DIABETIC KETOACIDOSIS (DKA) DOCUMENT NO:


MED-END-PRO-001
VERSION NO : 03 ORIGINATED DATE: 31/12/2013 REVISION DATE: 30/8/2020

Document once printed considered to be uncontrolled copy

Page6 of 10
Sultan Qaboos University Hospital

Department of Medicine

DOCUMENT NAME: DIABETIC KETOACIDOSIS (DKA) DOCUMENT NO:


MED-END-PRO-001
VERSION NO : 03 ORIGINATED DATE: 31/12/2013 REVISION DATE: 30/8/2020

Document once printed considered to be uncontrolled copy

Page7 of 10
Sultan Qaboos University Hospital

Department of Medicine

DOCUMENT NAME: DIABETIC KETOACIDOSIS (DKA) DOCUMENT NO:


MED-END-PRO-001
VERSION NO : 03 ORIGINATED DATE: 31/12/2013 REVISION DATE: 30/8/2020

Document once printed considered to be uncontrolled copy

Page8 of 10
Sultan Qaboos University Hospital

Department of Medicine

DOCUMENT NAME: DIABETIC KETOACIDOSIS (DKA) DOCUMENT NO:


MED-END-PRO-001
VERSION NO : 03 ORIGINATED DATE: 31/12/2013 REVISION DATE: 30/8/2020

Document once printed considered to be uncontrolled copy

Page9 of 10
Sultan Qaboos University Hospital

Department of Medicine

DOCUMENT NAME: DIABETIC KETOACIDOSIS (DKA) DOCUMENT NO:


MED-END-PRO-001
VERSION NO : 03 ORIGINATED DATE: 31/12/2013 REVISION DATE: 30/8/2020

6. RESPONSIBILITY FOR APPLICATION: DOCTORS

7. REFERENCE TO RELATED POLICIES\GUIDELINES/PROTOCOLS

8. INDEX OF SUPPORT DOCUMENTATION\FORMS

Document once printed considered to be uncontrolled copy

Page10 of 10

You might also like