Inshrah

Title: Effect of fluid and electrolytes and glucose monitoring implementation on length of stay for patients with diabetic ketoacodosis

Abstract

Background: Diabetic ketoacidosis is the combination of hyperglycemia, ketosis and anion gap metabolic acidosis. Aim: evaluate the effect of fluid & electrolytes and glucose monitoring implementation on length of stay for patients with diabetic ketoacidosis.

Research Design: A quasi-experimental study design. Subjects and Setting: The research carried out in the medical care unit at Minia University Hospital. A purposive sample of 60 adult patients with diabetic ketoacidosis was used for this study.

Tools: First tool 1st part: the demographic characteristics of patient, 2nd part: Medical data assessment. Second Tool: Hospital Length of Stay chart. Third tool Blood glucose & HbA1c findings chart. Fourth tool fluid and electrolytes monitoring items chart.

Results: The results indicate that over half of both the study group (63.3%) and the control group (50%) were aged between 18 and 30 years. Additionally, more than half of the participants in both groups were female, with rates of 63.3% in the study group and 56.7% in the control group. There were no statistically significant differences in blood glucose level measurements between the two groups on the first day. While, there were highly statistically significant differences in blood glucose level measurements between the study and control groups on the 2nd and 3rd days. Additionally, statistically significant variations were observed in blood glucose levels between the two groups on the 4th and 5th days. Conclusion: The results demonstrate that comprehensive fluid, electrolyte and glucose monitoring management significantly decreased hospital length of stay for patients with diabetic ketoacidosis.

Recommendations: Customized nursing interventions to address the severity of Diabetic Ketoacidosis and recovery management should be the main focus. Keywords: Diabetic Ketoacidosis, Fluid & Electrolytes, Glucose Monitoring, Length of Stay.

The audience take away from presentation:

1.Diabetic Ketoacidosis, Fluid & Electrolytes, Glucose Monitoring, Length of Stay

2.The audience will be able to use  evidence- based practice and improve quality of care for Diabetic Ketoacidosis patients

3.Customized nursing interventions to address the severity of Diabetic Ketoacidosis and recovery management should be the main focus