Question

A 12-year-old boy with type 1 diabetes is admitted with diabetic ketoacidosis. After initial fluid resuscitation, a continuous intravenous insulin infusion is started. According to paediatric DKA protocols, which of the following is most important in preventing cerebral oedema?

Accepted Answer

Gradual correction of hyperglycaemia and osmolality with careful fluid and insulin management

Answer

Rapid correction of hyperglycaemia with large insulin bolus

Answer

Restricting fluids entirely

Answer

Using hypertonic saline instead of isotonic fluids for all children

Answer

Delaying insulin until all ketones have cleared

Practice question

A 12-year-old boy with type 1 diabetes is admitted with diabetic ketoacidosis. After initial fluid resuscitation, a continuous intravenous insulin infusion is started. According to paediatric DKA protocols, which of the following is most important in preventing cerebral oedema?