Abordaje terapéutico en pacientes adultos con cetoacidosis diabética atendidos en emergencia de los Hospitales General Guasmo Sur y Monte Sinaí mayo 2022 – mayo 2023.

Abstract

Introduction: Diabetic ketoacidosis continues to be considered an acute complication of care, a significant cause of hospitalization and with a high risk of development, so the protocol in our country is that patients with suspected diabetic ketoacidosis must be hospitalized in addition to performing tests and maintaining blood glucose levels. Appropriate before discharge. Methodology: A cross-sectional, observational and retrospective study was carried out involving patients suffering from type II diabetes, treated in the emergency room of the Guasmo Sur (HGGS) and Monte Sinaí (HGMS) general hospitals. Results: It is observed that the main indication Upon admission of patients with diabetic ketoacidosis, fluid therapy with 0.9% sodium chloride was used in 66.49% of cases (127 patients), while sodium chloride 0.9% 2000ml had 11 .51% use in these cases (22 patients). Conclusions: The therapeutic approach that is most frequently used in the emergency of the Guasmo Sur General Hospital and the Monte Sinai General Hospital, includes the use of fluid therapy with Crystalloids at different doses.