Pediatric DKA: Going Beyond Fluids, Insulin and Admit to PICU

Making the diagnosis of DKA takes about 30 seconds. But before we open up the order set, check some boxes, and send the kid upstairs, let’s think about how we can fine-tune our care. What complications do we need to look out for and how can we manage them?

References:

• Sure they have DKA- but why?
• Think about the potassium
• Low and slow, is that the tempo?
• Ditch the drip?
• It can’t just be the fluid
• Osmotic edema vs vasogenic edema? MRI to the rescue!
• Pre-RCT: It’s not the fluid! It is the fluid! It’s not the fluid!
• Finally, an RCT to answer the question…maybe