Diabetic Ketoacidosis (DKA) - Diagnosis & Management | ISPAD 2022 & BSPED 2021 |Tiny Physician

Diabetic Ketoacidosis (DKA) diagnosis and management are explained based on ISPAD 2022 and BSPED 2011 guidelines.

Time Stamps
00:00 - Introduction
00:33 - References
00:50 - Diagnosis
02:33 - Euglycemic Ketoacidosis
03:38 - Ketone Measurement
05:07 - Classification of DKA
06:02 - Investigations
09:32 - Goals of management
09:47 - Components of therapy
10:45 - Fluid therapy
14:00 - PECARN trial
24:51 - Central line insertion in DKA?
25:20 - Insulin infusion
28:24 - Potassium in fluids
32:01 - Bicarbonate therapy?
32:35 - Antibiotics
33:19 - Corrected sodium
35:00 - Troubleshooting
36:06 - Complications
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References
1. ISPAD 2022 - https://www.ispad.org/resource/dynami...
2. BSPED 2021 - https://www.bsped.org.uk/clinical-res...
3. IAP Textbook of Pediatric Endocrinology
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Useful links
1. SWEET AND SALTY – FLUIDS IN DKA
https://dontforgetthebubbles.com/swee...
2. PECARN Trial
https://www.nejm.org/doi/full/10.1056...
3. Risk Factors for Cerebral Edema in Children with Diabetic Ketoacidosis
https://www.nejm.org/doi/10.1056/NEJM...

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