Diabetic ketoacidosis in the pediatric ICU.
Diabetic ketoacidosis (DKA), a pathophysiologic, life-threatening process that results from uncontrolled diabetes mellitus-induced hyperglycemia, is seen frequently in the pediatric ICU. This article reviews the pathophysiology, management, goals of treatment, and nursing implications of the child who is diagnosed with DKA. Facets particular to the pediatric population are reviewed.
Bevacqua
Jennifer E
JE
Pediatric Intensive Care Unit, Emanuel Children's Hospital, 2801 N. Gantenbein, Portland, OR 97227, USA. bevacqua@ohsu.edu
D001786:Blood Glucose / Q000378:metabolism; D002648:Child; D003422:Critical Care / Q000379:methods*; D016207:Cytokines / Q000378:metabolism; D016883:Diabetic Ketoacidosis / Q000150:complications / Q000175:diagnosis / Q000378:metabolism / Q000628:therapy*; D005440:Fluid Therapy / Q000451:nursing; D006801:Humans; D006943:Hyperglycemia / Q000209:etiology; D006996:Hypocalcemia / Q000209:etiology; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007008:Hypokalemia / Q000209:etiology; D007010:Hyponatremia / Q000209:etiology; D017674:Hypophosphatemia / Q000209:etiology; D007262:Infusions, Intravenous; D007328:Insulin / Q000502:physiology / Q000627:therapeutic use; D008066:Lipolysis / Q000502:physiology; D008275:Magnesium Deficiency / Q000209:etiology; D008991:Monitoring, Physiologic / Q000451:nursing; D024802:Nurse's Role; D010371:Pediatric Nursing / Q000379:methods*; D014883:Water-Electrolyte Imbalance / Q000209:etiology
D001786:Blood Glucose; D016207:Cytokines; D007004:Hypoglycemic Agents; D007328:Insulin