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Diabetic Ketoacidosis is a complication of new or existing Type 1 Diabetes. Pediatric DKA may be complicated by cerebral edema and due to this risk, is treated differently than adult DKA. Health care providers must follow a published pediatric-specific protocol when treating pediatric DKA. We have chosen 3 examples of such protocols: a general treatment algorithm from the Canadian Diabetes Association, a detailed treatment algorithm from BC Children's Hospital (English) and a detailed treatment algorithm from Centre hospitalier universitaire Sainte-Justine (French). Each pediatric hospital in Canada will have a protocol that they follow, thus early communication with the diabetes specialist at your pediatric referral site is a key element of the management of these patients.

BROWSE EVIDENCE REPOSITORY

 

Bottom Line Recommendations

Bottom Line Recommendations: Diabetic Ketoacidosis

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Reid, S & TREKK Network

Bottom line recommendations for the treatment and management of diabetic ketoacidosis (DKA).

Recommendations de Base: Acidocetose Diabtique (ACD)

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Reid, S, & TREKK Network

Bottom line recommendations for the treatment and management of diabetic ketoacidosis (DKA).

Bottom Line: Diabetic Ketoacidosis Protocol: For Children up to Age 19 Years

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BC Children's Hospital

This protocol is designed as an algorithm for treating the majority of cases of diabetic ketoacidosis in infants, children and adolescents.

Bottom Line: Immediate Assessment and Magement of Diabetic Ketoacidosis (DKA) in Children

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Wherrett, D, Huot, C, Mitchell, B, & Pacaud, D

Figure from Canadian Diabetes Association Clincial Practice Guidelines on Type 1 Diabetes in Children and Adolescents.