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Diabetic ketoacidosis in children and adolescents: An update and revised treatment protocol
| Content Provider | Semantic Scholar |
|---|---|
| Author | Metzger, Daniel L. |
| Copyright Year | 2010 |
| Abstract | British Columbia has an estimated 150 to 200 new cases of type 1 diabetes in children annually. In these cases, 10% to 20% of pa - tients will present in diabetic keto - acidosis (DKA). DKA is associated with significant fluid and biochemi- cal derangements, necessitating a thoughtful, structured approach to its management. Recent gains have been made in knowledge about the pathophysiology and medical care of DKA and its most significant compli- cation, cerebral edema. In response, BC Children's Hospital has devised an updated medical protocol for managing DKA in infants, children, and adolescents that conforms to new international consensus guide- lines. The protocol assists the med- ical practitioner in calculating fluid and electrolyte replacement needs for individual patients and outlines a plan for initial assessment and ongoing monitoring. Accompanying resources have also been developed to aid nursing, laboratory, and phar- macy colleagues to ensure that all children presenting with DKA in this province are managed following sci- entifically established guidelines. C anada has one of the highest rates of type 1 diabetes (T1D) in the world. The estimated incidence of T1D in Canadian chil- dren aged 0 to 14 years is 21.7 per 100 000 per year. 1 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://www.bcmj.org/sites/default/files/BCMJ_52Vol1_ketoacitosis-core.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
