Diabetic Ketoacidosis – remember in paediatrics this may be the 1st presentation of diabetes.
- Fluid – are more considered that adults due to the risk of cerebral oedema
- Insulin – WAIT – need 1hr of fluid first
- Paeds – involve them early
Tag: dka protocol
DKA – Adult
Things to remember
- Give 0.9%NaCl
- Actrapid “Fixed Rate” 0.1unit/kg/hr
- Basal Insulin (lantus/levemir) give this too – usual time and dose
- Potassium – if below 5.5 will need KCl infusion (see guide)
- BM <14 – Start 10% Dextrose 125ml/hr
- BEWARE SGLT-2 inhibitors chance of Euglycaemic DKA
