Practical Summaries in Acute Care Archives – July 1, 2008
July 1, 2008
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Pediatric DKA: Fluids and Insulin, How Much and When?
Diabetic ketoacidosis (DKA) is a state of metabolic decompensation, secondary to insulin deficiency/resistance that is coupled with counter-regulatory hormone excess and results in varying degrees of hyperglycemia, ketoacidemia, hypertonic dehydration, and sometimes, alterations in mental status.