Paediatric Diabetic Ketoacidosis
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Question 1 of 10
1. Question
1 point(s)A 6-year-old boy (20 kg) is admitted to the emergency department (ED) with suspected DKA. He is vomiting and clinically dehydrated.
Which of the following best fits the biochemical definition of DKA?
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Question 2 of 10
2. Question
1 point(s)A 6-year-old boy (20 kg) is admitted to the ED with suspected DKA. He is vomiting and clinically dehydrated.
What are the initial management priorities for this patient within the ED?
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Question 3 of 10
3. Question
1 point(s)A 6-year-old boy (20 kg) is admitted to the ED with suspected DKA. He is vomiting and clinically dehydrated.
On examination he localises to pain, is opening his eyes spontaneously and is confused.
What is his Glasgow Coma Score (GCS)?
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Question 4 of 10
4. Question
1 point(s)A 6-year-old boy (20kg) is admitted to the ED with suspected DKA. He is vomiting & clinically dehydrated.
On examination he localises to pain, is opening his eyes spontaneously & is confused. He has a heart rate of 140 beats/min, capillary refill time of 4 seconds, reasonable volume peripheral pulses & blood pressure within normal limits.
What is the appropriate initial fluid resuscitation?
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Question 5 of 10
5. Question
1 point(s)A 6-year-old boy (20kg) is admitted to the ED with suspected DKA. He is vomiting & clinically dehydrated.
He responds well to the fluid bolus & is no longer clinically shocked. His GCS also returns to normal.
After initial resuscitation what are the fundamental principles of DKA management?
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Question 6 of 10
6. Question
1 point(s)A 6-year-old boy (20kg) is admitted to the ED with suspected DKA. He is vomiting & clinically dehydrated. His initial GCS was reduced, he was tachycardic with a prolonged capillary refill time. You have given him a fluid bolus and his GCS, HR and CRT improved.
After the fluid bolus you are asked to write up the on-going fluids requirement. His initial blood gas shows a pH of 6.9.
What are his on-going requirement over the next 48 hours (ml/hour)?
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Question 7 of 10
7. Question
1 point(s)A 6-year-old boy (20kg) is admitted to the ED with suspected DKA. He is vomiting & clinically dehydrated.
After the fluid bolus, he has passed urine. You are asked to write up the on-going fluids requirement.
What type of fluid would be the most appropriate in this case?
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Question 8 of 10
8. Question
1 point(s)A 6-year-old boy (20kg) is admitted to the ED with suspected DKA. He is vomiting & clinically dehydrated.
A 500ml bag of 0.9% saline with 20mmol KCl is started as part of the initial fluid management.
What is the appropriate management with regards to commencing insulin?
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Question 9 of 10
9. Question
1 point(s)A 6-year-old boy (20kg) is admitted to the ED with suspected DKA. He is vomiting & clinically dehydrated.
2 hours after starting fluids & insulin his repeat bloods reveal pH 7.0, glucose 12, ketones 4.0 & potassium 4.0.
What is the appropriate management at this time?
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Question 10 of 10
10. Question
1 point(s)A 6-year-old boy (20 kg) is admitted to the ED with suspected DKA. He is vomiting and clinically dehydrated.
Four hours after starting IV fluids and insulin he complains of a headache and appears agitated. The nurses complain he is keeping the other patients awake.
What is the appropriate management at this time?
very useful
Very informative module, useful and practical
useful overview of DKA management
Great session