COMPLETE DIABETIC KETOACIDOSIS (DKA)
History of Present Problem & Comprehensive Clinical Analysis
Updated 2026-2027 Edition | Next Generation NCLEX (NGN) Compatible
TABLE OF CONTENTS
Section Topic Page
PART I: CLINICAL PRESENTATION
Patient Demographics &
1.1 3
Background
Chief Complaint & History of
1.2 4
Present Illness (HPI)
1.3 Past Medical History 5
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Section Topic Page
Social History & Lifestyle
1.4 6
Factors
1.5 Medications & Allergies 7
1.6 Review of Systems 8
PART II: PHYSICAL ASSESSMENT
9
FINDINGS
PART III: DIAGNOSTIC DATA &
11
LABORATORY RESULTS
PART IV: CLINICAL REASONING
14
& ANALYSIS
4.1 Pathophysiology of DKA 15
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Section Topic Page
4.2 Interpreting the ABG 17
4.3 Electrolyte Shifts in DKA 18
4.4 Anion Gap & Osmolality 19
PART V: NURSING PRIORITIES &
20
INTERVENTIONS
5.1 Initial Priority Actions 21
5.2 Fluid Resuscitation Protocol 22
5.3 Insulin Therapy Protocol 23
5.4 Electrolyte Management 24
5.5 Monitoring Parameters 25
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Section Topic Page
PART VI: COMPLICATIONS &
26
MANAGEMENT
6.1 Cerebral Edema 27
6.2 Hypokalemia 28
6.3 Hypoglycemia 29
6.4 Acute Kidney Injury 30
PART VII: RESOLUTION &
31
TRANSITION
7.1 Criteria for DKA Resolution 32
Transition to Subcutaneous
7.2 33
Insulin