Dka Diagnosis Dka Criteria Cpg

High mortality rate if unrecognised.

Dka diagnosis dka criteria cpg. Ketonaemia 3 mmol l and over or significant ketonuria more than 2 on standard urine sticks blood glucose over 11 mmol l or known diabetes mellitus venous bicarbonate hco3 below 15 mmol l and or venous ph less than 7 3 1 the american diabetes association diagnostic criteria for dka are as follows. The overall mortality is 1 mortality rate 5 in the elderly. All three must be met capillary blood glucose 11 mmol l. There are no definitive criteria for the diagnosis of dka.

Children with dka are deplete in total body potassium regardless of the initial serum. Diabetic ketoacidosis most serious acute complications. Infection missed therapy acute coronary syndrome cva surgery etc. Elevated serum glucose level greater than 250 mg per dl 13.

Diagnostic criteria and classification of dka. Requires critical care level of care. When managing dka hypoglycaemia and hypo hyperkalaemia are the other main complications which must be monitored for and treated. Blood glucose bg 200 mg dl acidosis bicarbonate 15 or blood gas ph 7 3 associated glycosuria ketonuria or ketonemia.

Diabetic ketoacidosis dka critical care guideline two bag system. Cpg dka 2017 ดาวน โหลดรายละเอ ยดเพ มเต ม. Diabetic ketoacidosis dka and hyperosmolar hyperglycemic state hhs also known as hyperosmotic hyperglycemic nonketotic state hhnk are two of the most serious acute complications of diabetes. Typically the arterial ph is 7 3 serum bicarbonate is 15 mmol l and the anion gap is 12 mmol l with positive serum and or urine ketones 1 31 33.

Dka is characterized by ketoacidosis and hyperglycemia while hhs usually has more severe hyperglycemia but no ketoacidosis table 1. Inclusion criteria definition of dka. A diagnosis of diabetic ketoacidosis requires the patient s plasma glucose concentration to be above 250 mg per dl although it usually is much higher the ph level to be less than 7 30 and. Dka guideline for diagnosis hhs guideline for diagnosis plasma glucose 250 mg dl arterial ph 7 30 venous ph 7 25 serum bicarbonate 15 18 mmol l moderate ketonemia ketonuria anion gap 12 plasma glucose 600 mg dl serum osmolality 320 mosm kg arterial ph 7 30 venous ph 7 25.

Diabetic ketoacidosis final 060317 pdf 28985 downloads facebook. Hyperglycemia blood glucose 11 mmol l 200 mg dl venous ph 7 3 and or bicarbonate 15 mmol l ketonemia and ketonuria.