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Diabetic ketoacidosis in the pediatric ICU

Jennifer E Bevacqua1

  • 1Pediatric Intensive Care Unit, Emanuel Children's Hospital, 2801 N. Gantenbein, Portland, OR 97227, USA. bevacqua@ohsu.edu

Critical Care Nursing Clinics of North America
|December 14, 2005
PubMed

Insights

Diabetic ketoacidosis (DKA) is a serious complication of uncontrolled diabetes in children. This review covers DKA

Area of Science:

  • Pediatric Endocrinology
  • Critical Care Medicine
  • Metabolic Disorders

Background:

  • Diabetic ketoacidosis (DKA) is a frequent and life-threatening complication in pediatric intensive care units.
  • It arises from uncontrolled diabetes mellitus leading to severe hyperglycemia.
  • Understanding DKA is crucial for managing affected children.

Purpose of the Study:

  • To provide a comprehensive review of diabetic ketoacidosis in pediatric patients.
  • To detail the pathophysiology, management strategies, and treatment goals for DKA.
  • To highlight specific nursing implications and pediatric considerations for DKA care.

Main Methods:

  • Literature review of existing studies and clinical guidelines on DKA.
  • Synthesis of information regarding DKA pathophysiology and treatment protocols.
  • Focus on aspects unique to the pediatric population.

Main Results:

  • DKA involves a complex pathophysiologic process driven by hyperglycemia.
  • Effective management requires a multi-faceted approach addressing metabolic derangements.
  • Nursing care is integral to monitoring and supporting recovery.

Conclusions:

  • DKA necessitates prompt and expert management in pediatric critical care settings.
  • Adherence to established treatment goals and protocols improves outcomes.
  • Recognizing pediatric-specific factors is essential for optimal patient care.

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