Brief Description:  

• Identify patients with diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar states (HHS) based on physical and laboratory findings 
• Attempt to determine precipitating cause (infection, insulin deficiency, medication induced, trauma) and treat Correct Dehydration
• Provide appropriate hydration/ correction of electrolyte derangements Correct Ketoacidosis
•  Provide appropriate medications to restore intravascular volume, prevent and correct electrolyte abnormalities, and correct acidosis Control Blood Glucose
• Blood glucose control should be based on hourly assessment Avoid Complications
• Establish protocol for frequent monitoring and assessment of the response to treatments; such as mental status, volume status, and resolution of laboratory abnormalities