What Is Diabetic Ketoacidosis?
7. Further Management and Care
Those with infection should be given antibiotics. Management of complications such as cerebral edema, cardiac dysrhythmia, pulmonary edema, or myocardial (heart muscle) injury should be managed appropriately. An endocrinologist can be consulted to help assist with management once the patient has been adequately stabilized.
Any changes in mental status in pediatric patients should indicate the possibility of cerebral edema. Long-term, frequent monitoring of the blood glucose levels at home decreases the likelihood of diabetic ketoacidosis. One study concluded that diabetic ketoacidosis patients who were admitted to a pediatric intensive care unit had excessive insulin dosing, improper fluid resuscitation, and lack of proper laboratory evaluation.
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