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This provides a summary of the AHS Provincial Pediatric DKA Guideline and includes important comments on the various aspects of the Provincial guideline. Included are links to the actual Provincial guideline and the relevant fluid deficit and potassium calculators.
Most Recent References
Frequency and Risk Factors of Acute Kidney Injury During Diabetic Ketoacidosis in Children and Association With Neurocognitive Outcomes. Myers SR, Glaser NS, Trainor JL, Nigrovic LE, Garro A, Tzimenatos L, Quayle KS, Kwok MY, Rewers A, Stoner MJ, Schunk JE, McManemy JK, Brown KM, DePiero AD, Olsen CS, Casper TC, Ghetti S, Kuppermann N; Pediatric Emergency Care Applied Research Network (PECARN) DKA FLUID Study Group. JAMA Netw Open. 2020 Dec 1;3(12):e2025481.
0.9% saline versus Plasma-Lyte as initial fluid in children with diabetic ketoacidosis (SPinK trial): a double-blind randomized controlled trial. Williams V, Jayashree M, Nallasamy K, Dayal D, Rawat A. Crit Care. 2020 Jan 2;24(1):1
Is Age a Risk Factor for Cerebral Edema in Children With Diabetic Ketoacidosis? A Literature Review. Glackin S, Metzger D, Hanas R, Chanoine JP. Can J Diabetes. 2020 Feb;44(1):111-118.
