What are the suitable management of DKA?
Proper management of DKA includes prompt initiation of IV fluids, insulin therapy, electrolytes replacement and recognition and treatment of precipitating causes. Close monitoring of patient’s condition by regular clinical and laboratory data and the use of management protocols help ensure better outcomes.
What is the first line treatment for DKA?
Treatment usually involves: Fluid replacement. You’ll receive fluids — either by mouth or through a vein — until you’re rehydrated. The fluids will replace those you’ve lost through excessive urination, as well as help dilute the excess sugar in your blood.
How do you manage pediatric diabetes?
Although there is no cure for diabetes, children with this disease can lead normal lives if it’s kept under control. Managing the disease focuses on blood sugar monitoring, treatment such as insulin therapy, given as multiple injections per day or through an insulin pump, and maintaining a healthy diet.
What is DKA in pediatrics?
Diabetic ketoacidosis (DKA) in children is defined as a blood glucose level over 11 mmol/L, venous pH below 7.3 or serum bicarbonate level below 15 mmol/L, and either the presence of ketonemia (blood β-hydroxybutyrate level ≥ 3 mmol/L) or moderate to high ketonuria.
What is a controlled blood sugar level?
Less than 140 mg/dL (7.8 mmol/L) is normal. 140 to 199 mg/dL (7.8 mmol/L and 11.0 mmol/L) is diagnosed as prediabetes. 200 mg/dL (11.1 mmol/L) or higher after two hours suggests diabetes.
How do you prevent DKA in children?
How can I help prevent DKA?
- Monitor your child’s blood sugar levels closely. Your child’s levels may go up if he or she has an infection, is stressed, sick, or has a trauma.
- Manage your child’s sick days.
- Check your child’s ketones as directed.
- Know how to treat DKA.
Is Lantus used in DKA?
A dose of glargine (Lantus®) is given subcutaneously after resolution of the DKA (i.e. when the intravenous insulin is stopped). This is currently the standard-of-care practice for children in DKA.
What is DX or DKA?
Practice Essentials. Diabetic ketoacidosis (DKA) is an acute, major, life-threatening complication of diabetes characterized by hyperglycemia, ketoacidosis, and ketonuria.
When do you use theophylline in pediatric patients?
Theophylline is used together with other medicines to treat the symptoms of asthma, bronchitis, emphysema, and other lung diseases. Theophylline belongs to a group of medicines known as bronchodilators. Bronchodilators are medicines that relax the muscles in the bronchial tubes (air passages) of the lungs.
How is DKA treated?
Diabetic ketoacidosis is treated with fluids, electrolytes — such as sodium, potassium and chloride — and insulin. Perhaps surprisingly, the most common complications of diabetic ketoacidosis are related to this lifesaving treatment. Possible complications of the treatments.
Why are DKA patients NPO?
– Diabetes Complications in Dogs and Cats: Diabetes Ketoacidosis (DKA) – Diabetic Ketoacidosis – Diabetic Ketoacidosis Increases Risk of Acute Renal Failure in Pediatric Patients with Type 1 Diabetes
When is DKA diagnosed?
If your doctor suspects diabetic ketoacidosis, he or she will do a physical exam and order blood tests. In some cases, additional tests may be needed to help determine what triggered the diabetic ketoacidosis. Blood tests used in the diagnosis of diabetic ketoacidosis will measure: Blood sugar level.