Endocrine / Metabolic Emergencies

Diabetic Ketoacidosis National Guideline

Below is a link to the current national DKA guideline.

National DKA protocol HSE 2025

Metabolic Emergency Guidance

If there is a clinical suspicion of a metabolic disorder, or a patient with a known metabolic disorder is unwell, please contact the Metabolic Consultant on call through the switchboard at Temple Street, Children's University Hospital on 01-8784200.     

Below are links to some helpful resources that you may be directed to upon consultation with the metabolic team  

1. British Inherited Metabolic Disease Group Emergency Guidelines A useful resource of easy to use emergency guidelines for metabolic diseases or suspected metabolic disease http://www.bimdg.org.uk/site/guidelines.asp  

2. National Centre for Inherited Metabolic Disorders   https://metabolic.ie/

3. Metabolic Calculation Booklet for healthcare professionals National guidelines containing helpful calculations and formulae necessary for treatment of acute metabolic crisis   http://metabolic.ie/wp-content/uploads/2015/04/Calculation-Booklet-A-guide-for-Nurses-and-healthcare-professionals-2016.pdf  

4. Nursing guidelines & resources for metabolic disorders Valuable nursing care plans for specific metabolic conditions along with information on metabolic emergency medications    http://metabolic.ie/healthcare-professionals/nursing/