Pediatric DKA and HHS
Play • 1 hr 6 min

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the November 2023 Pediatric Emergency Medicine Practice article, Pediatric Diabetes: Management of Acute Complications in the Emergency Department and some of the highlights from the other EB Medicine articles published in November.


Epidemiology


Differential diagnosis


Prehospital care


ED history and physical exam


Diagnostic studies

  • Point of care testing
  • Labs
  • Imaging


Treatment

  • IV fluids, the 2-bag system
  • Mild DKA
  • Moderate to severe DKA
  • Potassium and phosphate supplementation
  • Magnesium and calcium
  • Sodium bicarbonate
  • Hypoglycemia
  • HHS
  • Monitoring


Complications

  • Cerebral edema
  • Intubation


Insulin pumps


Disposition


Summary


Highlights


Check out the clinical pathways at https://www.ebmedicine.net/pathways

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