Momin Salahuddin, Anwar M N.
Study on effectiveness of guidelines and high dependency unit management on diabetic ketoacidosis patients.
J Postgrad Med Inst Jan ;23(2):120-3.

Objectives: To examine the quality of management of DKA and to assess the influence of guidelines and medical HDU on management. Material And Methods: This study was performed on 87 patients who were admitted with the diagnosis of Diabetic Ketoacidosis (DKA). A comparison was made of the standards of DKA management before and following the introduction of local guidelines and after the establishment of the medical HDU (High dependency unit) Results: Before starting the study our hypothesis was that `There should be gross improvement in the way these patients were managed after establishment of the guidelines and HDU`. In our study this was not confirmed. We found important areas where proper management was lacking. Conclusion: The introduction of guidelines and the availability of a medical HD U had little influence on the management of Diabetic Ketoacidosis. Fluid electrolyte management remained sub optimal and areas of concern.

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