A 12-year-old boy with known type 1 diabetes presents with vomiting and deep breathing. Glucose is 24 mmol/L, venous pH 7.10, and ketones are elevated...

Question

A 12-year-old boy with known type 1 diabetes presents with vomiting and deep breathing. Glucose is 24 mmol/L, venous pH 7.10, and ketones are elevated. According to paediatric DKA protocols, which statement is most appropriate regarding fluid management?

Accepted Answer

Use cautious isotonic fluid resuscitation to restore perfusion, avoiding overly rapid shifts

Answer

Give a large fluid bolus then rapid correction of sodium and glucose

Answer

Use hypotonic fluids to correct sodium quickly

Answer

Restrict fluids to prevent cerebral oedema

Answer

Give IV insulin bolus before any fluids

ca-rcpsc-em MCQ (SBA): Paediatric diabetic ketoacidosis

A 12-year-old boy with known type 1 diabetes presents with vomiting and deep breathing. Glucose is 24 mmol/L, venous pH 7.10, and ketones are elevated. According to paediatric DKA protocols, which statement is most appropriate regarding fluid management?