A 5-year-old boy with previously diagnosed type 1 diabetes is admitted with diabetic ketoacidosis. According to CPS DKA guidance, which fluid strategy...

Question

A 5-year-old boy with previously diagnosed type 1 diabetes is admitted with diabetic ketoacidosis. According to CPS DKA guidance, which fluid strategy is most appropriate during initial management to minimise risk of cerebral injury?

Accepted Answer

Initial 10-20 mL/kg isotonic saline bolus followed by replacement of deficit over 36-48 hours

Answer

Rapid fluid boluses totalling 60 mL/kg in the first hour

Answer

Use half-normal saline from the start at high rates

Answer

Avoid fluids and start insulin only

Answer

Administer hypotonic fluids once glucose begins to fall

ca-mccqe1 MCQ (SBA): Paediatric diabetic ketoacidosis fluid management

A 5-year-old boy with previously diagnosed type 1 diabetes is admitted with diabetic ketoacidosis. According to CPS DKA guidance, which fluid strategy is most appropriate during initial management to minimise risk of cerebral injury?