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Home > Emergency Medical Minute > Podcast # 346: Pediatric DKA
Podcast: Emergency Medical Minute
Episode:

Podcast # 346: Pediatric DKA
Category: Science & Medicine
Duration: 00:04:17
Publish Date: 2018-06-27 11:00:00
Description:

Author: Chris Holmes, MD

Educational Pearls:

 

  • There is a risk of cerebral edema in pediatrics with DKA if over resuscitated.
  • Recent study comparing normal saline vs. ½ normal saline showed no difference in rates of cerebral edema regardless of rate of infusion.
  • Recommend sticking with a fluid resuscitation protocol you are familiar with (i.e., 2 rounds of 10cc/kg bolus of NS).

 

References

Glaser, N. S., Ghetti, S., Casper, T. C., Dean, J. M., & Kuppermann, N. (2013). Pediatric Diabetic Ketoacidosis, Fluid Therapy and Cerebral Injury: The Design of a Factorial Randomized Controlled Trial. Pediatric Diabetes, 14(6), 435–446. http://doi.org/10.1111/pedi.12027

 
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