title: Pediatric diabetic ketoacidosis: an outpatient perspective on evaluation and management.
abstract: Diabetic ketoacidosis is a common, serious acute complication in children with diabetes mellitus. Diabetic ketoacidosis can accompany new-onset type 1 diabetes mellitus or it can occur with established type 1 diabetes mellitus during the increased demands of an acute illness or with decreased insulin delivery due to omitted doses or insulin pump failure. Additionally, diabetic ketoacidosis episodes in children with type 2 diabetes mellitus are being reported with greater frequency. Although the diagnosis is usually straightforward in a known diabetes patient with expected findings, a fair proportion of patients with new-onset diabetes present in diabetic ketoacidosis. The initial management of children with diabetic ketoacidosis frequently occurs in an emergency department. Physicians must be aware that diabetic ketoacidosis is an important consideration in the differential diagnosis of pediatric metabolic acidosis. This review will acquaint emergency medicine clinicians with the pathophysiology, treatment, and potential complications of this disorder.
authors: Maimonides Medical Center, Brooklyn, NY, USA.
authors: William
authors: W
authors: Bonadio
mesh_terms: D000553:Ambulatory Care; D001806:Blood Urea Nitrogen; D001929:Brain Edema / Q000209:etiology / Q000628:therapy; D002648:Child; D000075202:Contraindications; D003404:Creatinine / Q000097:blood; D019091:Critical Pathways; D003922:Diabetes Mellitus, Type 1 / Q000175:diagnosis; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis; D016883:Diabetic Ketoacidosis / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*; D003937:Diagnosis, Differential; D004305:Dose-Response Relationship, Drug; D004573:Electrolytes / Q000627:therapeutic use; D004635:Emergency Medicine; D004636:Emergency Service, Hospital; D005440:Fluid Therapy; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage; D007328:Insulin / Q000008:administration & dosage; D010710:Phosphates / Q000097:blood; D011188:Potassium / Q000097:blood; D012308:Risk Management; D017693:Sodium Bicarbonate
chemical_list: D004573:Electrolytes; D007004:Hypoglycemic Agents; D007328:Insulin; D010710:Phosphates; D017693:Sodium Bicarbonate; D003404:Creatinine; D011188:Potassium