Diabetic ketoacidosis Pediatric Packages (PedsPacs)
Diabetic ketoacidosis is a complication of new or existing pediatric diabetes and may be complicated by cerebral injury. Due to this risk, it is treated differently than adult DKA. Health care providers must follow a published pediatric-specific protocol when treating pediatric DKA. Early communication with the diabetes specialist at your pediatric referral site is a key element of the management of these patients. Key highlights include dehydration is a key component of DKA pathophysiology; all patients with DKA should receive a 20 ml/kg IV bolus of normal saline or Ringer's lactate over 20 minutes at the initiation of treatment, which can be repeated if the patient remains hypoperfused; ongoing fluids in DKA should be weight-based and account for the significant fluid deficit, with an increased maximum of 500 ml/hr; and every patient in DKA is at risk of cerebral injury before and during treatment, especially if DKA is more severe. Assess every patient with DKA for signs of cerebral injury and follow the TREKK DKA algorithm. In June 2023, TREKK’s DKA resources have been updated to reflect the 2022 International Society for Pediatric and Adolescent Diabetes (ISPAD) guidelines.
Browse Pediatric Packages (PedsPacs)
Browse Pediatric Packages (PedsPacs)
Order Set: Diabetic Ketoacidosis (2023)
Order Set: Diabetic Ketoacidosis
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Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
This order set is for management of pediatric diabetic ketoacidosis in the ED. This document is adaptable to your hospitals form policy.
This order set is for management of pediatric diabetic ketoacidosis in the ED. This document is adaptable to your hospitals form policy.
Pocket Card: Diabetic Ketoacidosis (2023)
Pocket Card: Diabetic Ketoacidosis
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Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
A pocket guide to red flags for pediatric diabetic ketoacidosis
A pocket guide to red flags for pediatric diabetic ketoacidosis
Algorithm: Diabetic Ketoacidosis (2023)
Algorithm: Diabetic Ketoacidosis
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Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
An algorithm for recognizing and managing pediatric diabetic ketoacidosis
An algorithm for recognizing and managing pediatric diabetic ketoacidosis
Bottom Line Recommendations: Diabetic Ketoacidosis (2023)
Bottom Line Recommendations: Diabetic Ketoacidosis
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Dr. Sarah Reid and Dr. Karen Gripp
Dr. Sarah Reid and Dr. Karen Gripp
Bottom line recommendations for the treatment and management of diabetic ketoacidosis (DKA).
Bottom line recommendations for the treatment and management of diabetic ketoacidosis (DKA).
Diabetic Ketoacidosis Development Team (2023)
Diabetic Ketoacidosis Development Team
This document outlines the references used and team involved in the development of the diabetic ketoacidosis PedsPac.
This document outlines the references used and team involved in the development of the diabetic ketoacidosis PedsPac.
Preparing Patient for Transport Checklist (2018)
Preparing Patient for Transport Checklist
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TREKK PedsPac
TREKK PedsPac
This transport checklist is to guide preparation for patient transport to a tertiary site. Included in the checklist are equipment considerations and important information to communicate to the receiving site. Published online: July 2018, Version 2.0.
This transport checklist is to guide preparation for patient transport to a tertiary site. Included in the checklist are equipment considerations and important information to communicate to the receiving site. Published online: July 2018, Version 2.0.
Recommandations De Base Acidocétose Diabétique (2023)
Recommandations De Base Acidocétose Diabétique
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Dr. Sarah Reid and Dr. Karen Gripp
Dr. Sarah Reid and Dr. Karen Gripp
Acidocétose Diabétique Pédiatrique – Algorithme (2023)
Acidocétose Diabétique Pédiatrique – Algorithme
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Dr. Sarah Reid and Dr. Karen Gripp
Dr. Sarah Reid and Dr. Karen Gripp
Carte de Poche d'Acidose Diabetique (2023)
Carte de Poche d'Acidose Diabetique
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Dr. Sarah Reid and Dr. Karen Gripp
Dr. Sarah Reid and Dr. Karen Gripp
Feuille Dordonnances Pr-Rdiges pour d'Acidose Diabetique (2023)
Feuille Dordonnances Pr-Rdiges pour d'Acidose Diabetique
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Dr. Sarah Reid and Dr. Karen Gripp
Dr. Sarah Reid and Dr. Karen Gripp
Équipe De Développement Acidocétose diabétique (2023)
Équipe De Développement Acidocétose diabétique
Liste de Controle du Transport du Patient (2018)
Liste de Controle du Transport du Patient
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PedsPac de TREKK
PedsPac de TREKK
This transport checklist is to guide preparation for patient transport to a tertiary site. Included in the checklist are equipment considerations and important information to communicate to the receiving site. Published: July 2018, Version 2.0.
This transport checklist is to guide preparation for patient transport to a tertiary site. Included in the checklist are equipment considerations and important information to communicate to the receiving site. Published: July 2018, Version 2.0.
Order Set: Diabetic Ketoacidosis (2023)
Order Set: Diabetic Ketoacidosis
- Download
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
This order set is for management of pediatric diabetic ketoacidosis in the ED. This document is adaptable to your hospitals form policy.
This order set is for management of pediatric diabetic ketoacidosis in the ED. This document is adaptable to your hospitals form policy.
Pocket Card: Diabetic Ketoacidosis (2023)
Pocket Card: Diabetic Ketoacidosis
- Download
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
A pocket guide to red flags for pediatric diabetic ketoacidosis
A pocket guide to red flags for pediatric diabetic ketoacidosis
Algorithm: Diabetic Ketoacidosis (2023)
Algorithm: Diabetic Ketoacidosis
- Download
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
Dr. Sarah Reid, Dr. Karen Gripp and Dr. Sarah Lawrence
An algorithm for recognizing and managing pediatric diabetic ketoacidosis
An algorithm for recognizing and managing pediatric diabetic ketoacidosis
Bottom Line Recommendations: Diabetic Ketoacidosis (2023)
Bottom Line Recommendations: Diabetic Ketoacidosis
- Download
Dr. Sarah Reid and Dr. Karen Gripp
Dr. Sarah Reid and Dr. Karen Gripp
Bottom line recommendations for the treatment and management of diabetic ketoacidosis (DKA).
Bottom line recommendations for the treatment and management of diabetic ketoacidosis (DKA).
Recommandations De Base Acidocétose Diabétique (2023)
Recommandations De Base Acidocétose Diabétique
- Download
Dr. Sarah Reid and Dr. Karen Gripp
Dr. Sarah Reid and Dr. Karen Gripp
Acidocétose Diabétique Pédiatrique – Algorithme (2023)
Acidocétose Diabétique Pédiatrique – Algorithme
- Download
Dr. Sarah Reid and Dr. Karen Gripp
Dr. Sarah Reid and Dr. Karen Gripp
Carte de Poche d'Acidose Diabetique (2023)
Carte de Poche d'Acidose Diabetique
- Download
Dr. Sarah Reid and Dr. Karen Gripp
Dr. Sarah Reid and Dr. Karen Gripp
Feuille Dordonnances Pr-Rdiges pour d'Acidose Diabetique (2023)
Feuille Dordonnances Pr-Rdiges pour d'Acidose Diabetique
- Download
Dr. Sarah Reid and Dr. Karen Gripp
Dr. Sarah Reid and Dr. Karen Gripp
Équipe De Développement Acidocétose diabétique (2023)
Équipe De Développement Acidocétose diabétique
Diabetic Ketoacidosis Development Team (2023)
Diabetic Ketoacidosis Development Team
This document outlines the references used and team involved in the development of the diabetic ketoacidosis PedsPac.
This document outlines the references used and team involved in the development of the diabetic ketoacidosis PedsPac.
Preparing Patient for Transport Checklist (2018)
Preparing Patient for Transport Checklist
- Download
TREKK PedsPac
TREKK PedsPac
This transport checklist is to guide preparation for patient transport to a tertiary site. Included in the checklist are equipment considerations and important information to communicate to the receiving site. Published online: July 2018, Version 2.0.
This transport checklist is to guide preparation for patient transport to a tertiary site. Included in the checklist are equipment considerations and important information to communicate to the receiving site. Published online: July 2018, Version 2.0.
Liste de Controle du Transport du Patient (2018)
Liste de Controle du Transport du Patient
- Download
PedsPac de TREKK
PedsPac de TREKK
This transport checklist is to guide preparation for patient transport to a tertiary site. Included in the checklist are equipment considerations and important information to communicate to the receiving site. Published: July 2018, Version 2.0.
This transport checklist is to guide preparation for patient transport to a tertiary site. Included in the checklist are equipment considerations and important information to communicate to the receiving site. Published: July 2018, Version 2.0.
