Diabetic ketoacidosis during pregnancy

Pregnancy increases the chances for the woman with type 1 diabetes to develop DKA, especially if the patient is noncompliant with glycemic control, if a concomitant infection occurs, or if tocolysis with a beta-adrenergic agent is necessary for preterm labor. Prompt recognition of the crisis state of DKA with immediate intervention and management is a challenge for the health care team. Approaches to correct the fluid imbalance and to restore glucose homeostasis are needed to stabilize the patient and to provide an optimum outcome for mother and fetus. The critical assessment skills of the nurse, as well as the skills to provide the emotional aspects of care, are essential for a rapid resolution of the condition.