Please Remember Also, Guidelines And Protocols Are No Substitute For Clinical Exam And Expert Opinion.
If your patient does not continue to improve over the first 3-4 hours of treatment, please re-assess and seek expert opinion from endocrine and/or critical care. Pediatric Diabetic Ketoacidosis Guidelines For new onset diabetes in a pediatric patient NOT in DKA (see criteria below) â€¢ These guidelines may not be appropriate â€¢ Consult endocrine and pediatric admit resident â€¢ Utilize EPICâ€™s Order set labelled Pedi Diabetes New Onset For any pediatric patient in DKA, whether new onset or not â€¢ Initiate the following guidelines â€¢ Consult PICU and endocrine â€¢ Utilize EPICâ€™s order set labelled Pedi Diabetes DKA â€¢ Use 2 bag IV fluid system as determined by the excel file DKA IV fluids and roadmap Pediatric DKA Guidelines â€¢The goal is correction of metabolic acidosis, not euglycemia. â€¢ Hyperglycemic (glucose > 200 mg/dL) AND â€¢ Metabolic Acidosis (pH < 7.3, bicarb < 15 mEq/L) AND â€¢ Mild pH 7.2-7.3, bicarb 10-15 â€¢ Moderate pH 7.1-7.2, bicarb 5-10 â€¢ Severe pH <7.1, bicarb <5 â€¢ Ketosis â€“ blood and/or urine Criteria for diagnosis of DKA. All 3 must be satisfied â€¢ The vast majority of ch Continue reading >>