New onset DKA - PICU

Nurses Safety

Published

To my PICU nurses out there:

What are your nurse to patient ratios for a new-admit, new-onset DKA? 

Ex: blood glucose >1000, pH <6.5, bicarb undetectable; altered mental status —> potassium <1.5; Mg <1.0 despite 2-bag system and repletions.

Would you have other patients with this patient and, if so, how many?

RNNPICU, BSN, RN

1,265 Posts

Specializes in PICU.

Probably depends on the other patient.

Most PICUs are 2 patients to 1 nurse, if the patient is super sick, intubated, on pressors, multilple antibiotics, meds, you could be 1:1

However with a pH of 6.5 your patient is likely dead.

Kricole

6 Posts

She landed on her feet - very much alive - despite her pH and lyte levels. Definitely one heck of a shift.

Thanks for the info r/t how your unit trends in terms of nurse/patient ratios. 

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