PDF Diploma in Clinical Medicine and Surgery

Paediatric Diabetic Ketoacidosis Guideline: Fluid Resuscitation, Insulin Infusion and Cerebral Oedema

A paediatric guideline for children and young people admitted with DKA, with the document-control pages, definitions and airway-breathing-circulation assessment, a timed resuscitation chart, and the principles of fluid management worked through by example for a dehydrated child by weight. It continues on plasma sodium and potassium, the low-dose insulin infusion regimen and when to reduce it, and the recognition and treatment of cerebral oedema, which it puts at 0.4 to 1% of children with DKA.

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