Why the study?
Do current treatment practices for diabetic ketoacidosis delay the resolution of anion gap in adults?
Do current treatment practices for diabetic ketoacidosis delay the resolution of anion gap in adults?
Delays in insulin infusion initiation and lack of IV-to-SC insulin overlap are common in DKA management and correlate with delayed resolution of the anion gap.
Delayed insulin initiation and missing overlap were associated with slower anion gap resolution in DKA; hypothesis-generating for protocol adherence trials.
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.
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Ruth Ferreri (2008) studied this question.
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