Hyperglycaemia and Ketosis (Paed) Flashcards
(11 cards)
What are the care objectives for hyperglycaemia and ketosis?
- Identification or high-risk hyperglycaemia
- Hydration where indicated
Recite the CPG for hyperglycaemia and ketosis
What medications are provided in this CPG?
- Nil provided by ALS for paediatrics
- NaCl can be administered by MICA
What are 3 differential diagnoses for this presentation?
- DKA
- Hyperglycaemia
- Sepsis/infection
Are there any relevant CWI’s for this presentation?
- Nil
What are some care pathway/treatment option considerations
- Reassurance
- MICA for IV NaCl
- Reassessment
What are the BSL and KET ranges to suspect Hyperglyaemia and Ketosis?
* Mild to moderate
* Severe
Mild to moderate
* BSL 11-27.8
* KET 0.6-3
Severe hyperglycaemia
* BSL > 27.8
* KET >3
What are the care pathways for mild-mod hyperglycaemia/ketosis?
Exclude other causes that may require emergency department care
* ACS
* Infection/sepsis
VVED referral
What are the care pathways for mild-mod hyperglycaemia/ketosis?
- Cardiac monitoring and ECG
- MICA > IVT
What are the clinical features of DKA?
PANDA KK
- Profound thirst
- Abdominal pain
- Nausea/vomiting
- Dehydration
- ACS
- Kussmaul breathing/tachypnoea
- Ketotic breath
What are the clinical features of HHS?
- ACS
- Dehydration
