Euglycemic DKA Order Set

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Mon, 03/07/2022 - 14:06
#1
Mark Wolf Jr.
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Joined: 07/15/2021 - 14:45
Euglycemic DKA Order Set

Hi all,

We currently have an Adult DKA and HSS protocol, IV insulin algorithm, and OB IV insulin algorithm. We have been seeing an uptick of euglycemic DKA within our institution primarily due to the increased use of SGLT2i and in our OB/LDR population. It is causing confusion amongst our provider and nursing staff as our current guidance does not appropriately address euglycemic DKA. This has ultimately led to errors which we are wanting to prevent in the future with appropriate guidance.

1. Do you have an euglycemic DKA protocol/guideline that you are willing to share?

2. If you are an Epic institution, do you have a completely separate euglycemic DKA
order set/panel? Or do you house everything within the same “DKA/HHS” orderset and add specific guidance addressing patients with euglycemic presentation?

Thank you very much!
-Mark Wolf

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