Observations and monitoring
- Hourly
- Neurological & basic observations
- NB: Half-hourly neurological observations should be employed in children under 2 years &/or those with severe DKA (increased risk of cerebral oedema)
- Strict fluid balance
- Capillary blood glucose & ketones
- Urine ketones can be used if blood testing not available
- Neurological & basic observations
- Medical review, venous blood gases, U&Es & glucose
- Check 2 hours after management commenced
- Then at least 4 hourly
- Medical staff should be informed immediately if:
- Headache, change in CGS or behaviour
- Slowing of pulse, changes in the ECG trace (especially T wave changes)
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| Fig 7: Young people with DKA should be monitored regularly during their treatment |