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Pediatric Diabetic KetoAcidosis (DKA) Algorithm

#Diabetic #KetoAcidosis #DKA #Algorithm #Diabetes #Peds #Pediatrics #Management

Pediatric Diabetic ... KetoAcidosis (DKA ... Algorithm #Diabetic ... #KetoAcidosis # ... #Peds #Pediatrics

Pathophysiology of Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Syndrome (HHS)
Absolute Insulin deficit:
- Type I DM:

Ketoacidosis (DKA ... Hyperglycemic Hyperosmolar ... pathophysiology #comparison #endocrinology ... #ketoacidosis # ... hyperglycemic #hyperosmolar

Pediatric Diabetic Ketoacidosis
#Management #Peds #DKA #DiabeticKetoacidosis #Algorithm #PEMSource

Pediatric Diabetic ... Ketoacidosis #Management ... #Peds #DKA #DiabeticKetoacidosis ... #Algorithm #PEMSource

Ketosis Disorders - Comparison Table
• Starvation Ketosis
• Alcoholic Ketoacidosis (AKA)
• Diabetic Ketoacidosis (DKA)

• Alcoholic Ketoacidosis ... (AKA) • Diabetic ... Ketoacidosis (DKA ... Hyperglycemic Hyperosmolar ... diagnosis #management #endocrinology

Diabetic Ketoacidosis
Management Priorities
1. Fluids
2. Insulin
3. Potassium
4. Acidosis
5. Re-establish oral fluids,

Diabetic Ketoacidosis ... cause #DKA #Diabetic ... #Ketoacidosis # ... Diabetes #Management ... #Pediatrics #Peds

DKA vs HHS
- Think of DKA and HHS on a spectrum of hyperglycemic emergencies
-

laboratory #diagnosis #endocrinology ... #comparison #diabetic ... #ketoacidosis # ... hyperosmolar #hyperglycemic

Pediatric Dyspnea - Differential Diagnosis Algorithm
Stridor:
• Croup
• Foreign Body
• Tracheitis
• Epiglottitis
•

Pediatric Dyspnea ... Heart Disease • Diabetic ... Ketoacidosis ... Algorithm #Causes #Peds ... #Pediatrics

Pediatric Causes of Abdominal Pain

Surgical:
- Acute appendicitis
- Intestinal obstruction including intussusception
-

Pediatric Causes ... Henoch—Schönlein purpura - Diabetic ... ketoacidosis ... Abdominal #Pain #Pediatrics ... Differential #Diagnosis #Peds

Pediatric Acute Abdominal Pain - Differential Diagnosis Algorithm
Generalized/Migratory:
• Intussusception
• Gastroenteritis
• Viral Illness
•

Pediatric Acute ... Viral Illness • Diabetic ... Ketoacidosis ... Algorithm #Causes #Peds ... #Pediatrics

Assessment of diabetic control:
- Any episodes of hypoglycaemia, diabetic ketoacidosis, hospital admission?
- Is

Assessment of diabetic ... hypoglycaemia, diabetic ... ketoacidosis, hospital ... primarycare #DM1 #Peds ... #Pediatrics #Assessment

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