DKA

Question 1

Key points of DKA in children

Answer 1

Cerebral edema is the key life threatening cx
Also mng hypoglycemia and hyper/hypokalemia
Children with DKA are deplete in total body K regardless of the inital serum potassium level
Measured serum sodium may be low due to osmotic dilution with glucose. Corrected sodium levels should be calculated and monitored

Question 2

DKA dx peads

Answer 2

Serum glucose >11 mmol/L
Venous pH <7.3 or Bicarbonate <15 mmol/L
Presence of ketonaemia/ketonuria

Question 3

dka precipitants peads

Answer 3

Inadequate insulin
First presentaiton of t1dm
illness

Question 4

Assessment and mng DKA in peads- assessment, ix, treatment