[Diabetic ketoacidosis in childhood: the first day of treatment].
Fifteen patients with diabetic ketoacidosis treated at ICU in the last eight years with low-dose intravenous insulin infusion are retrospectively revised. Diabetic ketoacidosis was the initial presentation of diabetes in 12 children. Mild infections were the usual starting factor. Only the children with shock of blood pH less than or equal to 7.10 on admission received sodium bicarbonate. The average of pH correction was 6.4 h. The average of glycemia correction (less than or equal to 250 mg/dl) was 5 h with a rate of 120 mg/dl/h. None of children had complications in the course of the treatment, except for one of them who presented cerebral edema. This procedure is a safe and efficacious treated for diabetic ketoacidosis in children.
Miyares Gómez
A
A
Departamento de Pediatria, Hospital Infantil Niño Jesús, UAM, Madrid.
Sánchez Medina
F
F
Casado Flores
J
J
D000293:Adolescent; D001639:Bicarbonates / Q000008:administration & dosage*; D001786:Blood Glucose / Q000032:analysis; D002648:Child; D002675:Child, Preschool; D016883:Diabetic Ketoacidosis / Q000097:blood / Q000188:drug therapy*; D005260:Female; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007223:Infant; D007328:Insulin / Q000008:administration & dosage*; D008297:Male; D012189:Retrospective Studies; D012964:Sodium / Q000008:administration & dosage*; D017693:Sodium Bicarbonate
D001639:Bicarbonates; D001786:Blood Glucose; D007328:Insulin; D017693:Sodium Bicarbonate; D012964:Sodium
Cetoacidosis diabética en la infancia: el primer día de tratamiento.