TYK311

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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