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Clinical Practice Guidelines (CPGs) promote evidence based, safe, and high-value care for patients with common clinical conditions when high-quality national or international guidelines are available to inform recommendations. Additional review of scientific literature is often included. A multidisciplinary committee of subject matter experts and key stakeholders systematically reviews the guidelines and any additional literature to develop standard processes and clinical recommendations.

The Diabetic ketoacidosis (DKA) synopsis provides a high level overview of the care standards employed for this CPG.

Algorithms associated with this CPG for viewing on a smartphone or computer:

Algorithms associated with this CPG for viewing as a PDF:

Inclusion and Exclusion Criteria

Inclusion:

    • Patient has known or presumed diabetes mellitus and CO2 <16 mmol/L

Exclusion:

    • Hyperglycemia without acidosis

Committee members involved in the development:

  • R. McDonough, DO | Endocrinology | Committee co-chair
  • T. Musick, DO | Endocrinology | Committee co-chair
  • A. Wagner, DO | Intensivist | Committee member
  • A. Stoner, MS, DO | Intensivist | Committee member
  • K. Heller, MD | Hospitalist | Committee member
  • T. Barnett, MD | Emergency Medicine | Committee member
  • S. Assad, BSN, RN, CPN | 6 Henson | Committee member
  • C. Cunningham, RN, MSN, CPN | Emergency Nursing | Committee member
  • S. Fagan, RN, BSN, CCRN-K | Pediatric Intensive Care Educator | Committee member
  • D. Porter, MSN, RN, CPN | 6 Henson | Committee member

MIT Committee Members

  • J. Wheeler, MSN, RN-BC, CPN | Clinical Practice and Quality | Committee member
  • T. Frank, RPh, CPHIMS | Pharmacy Informatics Specialist | Committee member

EBP Committee Members

  • K. Berg, MD, FAAP | Hospitalist | Evidence Based Practice
  • J. Bartlett PhD, RN | Evidence Based Practice
  • M. Gripka, MT (ASCP) SM | Evidence Based Practice
  • K. Reiling Ott, OTD, OTR/L | Evidence Based Practice

Publication dates:

  • Finalized date: 04/2013; 01/2014; 09/2014; 12/2014; 12/2015; 12/2016; 11/2019; 12/2022
  • Next expected revision date: 12/2025

Concerns with content

If you have any questions regarding this content or identify a broken link, please email evidencebasedpractice@cmh.edu.

These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly these guidelines should guide care with the understanding that departures from them may be required at times.