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Evaluation and Treatment of Diabetic Ketosis without Acidosis — Fluid Management — Clinical Pathway: Inpatient

Diabetic Ketosis without Acidosis Clinical Pathway — Inpatient

Fluid Management

PO/Enteral Fluids

Administer ketone dose OR correction bolus, whichever is greater, but not both.

Recommendation Fluids
Blood Sugars < 200 Blood Sugars > 200
  • Patient to drink 1 ounce (30 ml) per age in years every hour up to 16 ounces (480 ml)
  • Consider Ondansetron if nausea/vomiting present
  • Sugar-containing fluids
  • Sugar-free fluids
  •  

Intravenous Fluids

Recommendation Fluids
Blood Sugars < 200 Blood Sugars 200-299 Blood Sugars > 300
  • Use 1.5x MIVF only if patient unable to tolerate PO
    (enteral preferred route)
  • D10NS
  • Use 1/2 volume D10NS + 1/2 volume NS to give equivalent D5
  •  
  • Normal Saline (NSS)
  •  

 

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