Question

A 7-year-old with type 1 diabetes presents with drowsiness and Kussmaul breathing. Blood glucose is 26 mmol/L. Blood gas shows metabolic acidosis with elevated ketones. Which is the first step in managing paediatric diabetic ketoacidosis?

Accepted Answer

IV fluids (0.9 percent saline)

Answer

IV insulin bolus

Answer

Subcutaneous insulin

Answer

IV sodium bicarbonate

Answer

Immediate intubation

Practice question

A 7-year-old with type 1 diabetes presents with drowsiness and Kussmaul breathing. Blood glucose is 26 mmol/L. Blood gas shows metabolic acidosis with elevated ketones. Which is the first step in managing paediatric diabetic ketoacidosis?