Medical Director of Pediatric Critical Care Transport, Pediatric Intensivist Children's Mercy Hospital Kansas City, Missouri, United States
The acute management of diabetic ketoacidosis (DKA) in children can be stressful for adult providers with an urgency for rapid correction of hyperglycemia and acidosis, and the tendency to intubate children with Kussmaul's respirations. This presentation will review the pathologic process at the cellular level that leads to DKA, the typical clinical presentation, and laboratory findings in children who present in DKA using a case study. This talk will review the importance of tight fluid management, slow correction of hyperglycemia, and aggressive electrolyte replacement in the acute management of DKA. This talk will also review the pitfalls to aggressive overcorrection and overresuscitation of DKA that can lead to increased morbidity and mortality.
Learning Objectives:
Upon completion, the participate will be able to describe the physiologic and laboratory derangements associated with DKA in children
Upon completion, the participant will be able to explain why rapid correction of hyperglycemia and acidosis, aggressive fluid resuscitation, and intubation may cause harm to a child in DKA.
Upon completion, participant will be able to describe the appropriate interventions for the acute management of DKA in children.
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