A 14-year-old girl presents with first episode of diabetic ketoacidosis. Her parents ask why fluids are being given slowly rather than as rapid large ...

Question

A 14-year-old girl presents with first episode of diabetic ketoacidosis. Her parents ask why fluids are being given slowly rather than as rapid large boluses. Which is the most important reason in paediatric DKA management?

Accepted Answer

Rapid fluid shifts may increase the risk of cerebral oedema

Answer

Rapid boluses quickly normalise glucose

Answer

Rapid correction of dehydration reduces risk of cerebral oedema

Answer

Slow fluids increase risk of renal failure

Answer

Fluids are not recommended in paediatric DKA

uk-plab-1 MCQ (SBA): Diabetic ketoacidosis in children

A 14-year-old girl presents with first episode of diabetic ketoacidosis. Her parents ask why fluids are being given slowly rather than as rapid large boluses. Which is the most important reason in paediatric DKA management?