. population -rural areas where primary care providers may be limited.

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Peer 1

Discussion#3 PICOT

Problem Statement: Diabetic keto-acidosis (DKA) is a serious disease that has become more prevalent among patients with diabetes mellitus type I and II.  In these situations it becomes imperative to educate patients on the importance of recognizing the symptoms of DKA and when it is appropriate to seek medical attention.  In an article written by Aneesh Ghosh, (2019), it was documented that a patient with blood glucose of 237, was in DKA based on other variant lab values and physical presentation.  In these situations, it is imperative for nurses to be able to begin insulin drips based on protocols that have been researched as best evidence based practice.  Minimizing the time that patients wait to be treated, will allow for better patient outcomes.

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Patient, Population and Problem:

1. Patients who do not have access to proper medical treatment for diabetes and suffer                       from episodes of DKA

2. population -rural areas where primary care providers may be limited.

3. Problem- not enough properly trained nurses and primary care providers to treat DKA

Intervention:

Observe patient outcomes when nurses are able to administer nurse driven protocols to quickly and efficiently intervene on patients with clinical presentation of DKA versus patients who are treated traditionally.

Comparison:

Comparison of patients who are able to benefit from nurse driven protocols in emergency rooms or critical care settings versus delay of treatment while waiting for traditionally longer waits for primary care providers.

Outcomes:

Patients who are treated with nurse driven protocols tend to have better outcomes, and fewer episodes of hypoglycemia when nurses are able to calculate insulin protocols rather than report to primary care providers to await new orders.

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