Clinical Pediatric Emergency Medicine
Volume 10, Issue 4 , Pages 246-251, December 2009

Management of Diabetic Ketoacidosis in the Emergency Department

  • Naomi Fogel, MD

      Affiliations

    • Corresponding Author InformationReprint requests and correspondence: Naomi Fogel, MD, Division of Endocrinology, Children's Memorial Hospital, 2300 Children's Plaza Box #54, Chicago, IL 60614.
    • ,
  • Donald Zimmerman, MD

Children's Memorial Hospital, Northwestern University, Feinberg School of Medicine

Diabetic ketoacidosis results from deficient insulin action and increased action of hormones such as catecholamines, glucagon, glucocorticoids, and growth hormone, which are produced during stress and which antagonize insulin's actions. Diabetic ketoacidosis is associated with a relatively high mortality rate. Treatment consists of appropriate fluid resuscitation, insulin infusion, adjustments of electrolytes and phosphate, and careful monitoring. The most common serious complication is cerebral edema.

Keywords: Diabetic ketoacidosis, cerebral edema

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

PII: S1522-8401(09)00087-1

doi:10.1016/j.cpem.2009.10.002

Clinical Pediatric Emergency Medicine
Volume 10, Issue 4 , Pages 246-251, December 2009

Article Tools