Initial Treatment Of Dka

Initial Treatment Of Dka. Unlike treatment of DKA, replacement of urinary losses is recommended. Admit patients only to a unit in which neurologic status and vital signs can be monitored frequently • Insulin can be started immedi-ately at the time of the initial fluid expansion or it can be held until the fluid expansion is completed for a more realistic.

ASK DIS: Diabetic Ketoacidosis in Children (Leona Shelton)

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Note: Although the diagnosis and treatment of diabetic ketoacidosis (DKA) in adults and in children share general principles, there are signicant dif-ferences in their application, largely related to the increased risk of life-threatening cerebral edema with DKA in children and adolescents.

Studies comparing treatment of DKA using subcutaneous or intramuscular insulin against conventional IV insulin.

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Measured serum sodium may be low due to osmotic dilution with glucose. Unlike treatment of DKA, replacement of urinary losses is recommended. DKA is characterized by metabolic acidosis (low pH of the blood).