In children, the most appropriate initial treatment for diabetic ketoacidosis
(DKA) is:
a) Administer an intravenous bolus dose of regular insulin 0.1 unit/kg
b) Use the “1500 rule” to decrease blood glucose to below 250 mg/dL
c) Administer crystalloid 10-20 mL/kg IV
d) Treat hyperkalemia to prevent arrhythmias
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Answer
Answer c. Unlike adults, children are not usually given bolus insulin on
presentation with DKA. The goal is to decrease blood glucose by no more than
Notes
- This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.
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