John D. Chovan, James. R. Cacchillo
Renal Disease, Diabetes, Diabetic Ketoacidosis, Mortality and Morbidity
Endocrine System Diseases | Medical Pathology | Nursing
Diabetic ketoacidosis (DKA) serves as one the leading causes of mortality in diabetic patients . The mortality has decreased over the past several decades due to the rapid recognition of the disease state and the improvement of management of DKA . Despite a decline in mortality rates over the past twenty years from 7.96% to 0.67%, errors in management of the disease state are associated with significant morbidity and mortality . Utilization of DKA protocols in the acute care setting have allowed congruency in care and delivery of effective lifesaving treatment. Despite advances in standardized DKA protocols, there still remains a gap in how to manage specific patient populations with end stage renal disease. Understanding the pathophysiology behind these patient populations will yield better outcomes with the ultimate goal of decreasing the mortality rate.
Albany, Brian, "Management of a DKA patient with severe metabolic and ketoacidosis with chronic renal insufficiency" (2014). Master of Science in Nursing (MSN) Student Scholarship. Paper 6.