DKA Decision Tool – PocketRounds

DKA/HHS Treatment Tool

Current Patient Data

Weight (kg)

Glucose (mg/dL)

Measured sodium (mEq/L)

Potassium (mEq/L)

Bicarbonate (mmol/L)

Anion gap

BUN (mg/dL)

Home glargine dose (units)

Corrected sodium —

Effective serum osmolality —

Entered anion gap —

Corrected Na = Na + 0.024 × (glucose − 100) Effective Osm = 2 × Na + glucose / 18

Enter patient data to generate the plan.

Repeat glucose (mg/dL)

Repeat potassium (mEq/L)

Weight (kg)

Home glargine dose (units)

DKA Bicarbonate >18 mmol/L and anion gap <12 or back to baseline.

HHS Calculated serum osmolality <300 mOsm/kg, urine output >0.5 mL/kg/hr, and glucose <250 mg/dL.