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Canadian Paediatric Society, Acute Care Committee, Ottawa, Ontario, Canada
The treatment of paediatric diabetic ketoacidosis (DKA) requires careful management of fluids and electrolytes to reduce the risk of complications, particularly cerebral edema. Despite previous protocols aimed at limiting fluid resuscitation, new evidence suggests that early isotonic fluid therapy may improve patient outcomes. This document provides updated guidelines on initial fluid resuscitation, electrolyte monitoring, and management strategies for DKA in children, highlighting the importance of careful monitoring and adjustment of treatment based on patient response.
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