01.07 Pediatric DKA, the Right Way

Hey everyone, today we'll be discussing the proper way to both treat and transport a pediatric DKA patient. We'll go over the treatments and why they matter, and talk about the dangers of inappropriate management in pediatrics with a diagnosis of DKA. Some visual info for you is below:

Sample IV fluid maintenance schedule for pediatrics

• <10kg = 100ml/kg/day

• 10-20kg = (1000ml + 50ml/kg) / day

• >20kg = (1500ml + 20ml/kg) / day

Labs for Case 1:

• pH 7.11, PCO2 17, HCO3 9, BE -19, Lactate 2.7

• Na 132, K 5.2, Cl 95, CO2 8, glucose 540

• Urine: positive for glucose and ketones

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