Management of diabetic ketoacidosis in PICU.

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dc.contributor.authorJahagirdar, R Ren_US
dc.contributor.authorKhadilkar, V Ven_US
dc.contributor.authorKhadilkar, A Ven_US
dc.contributor.authorLalwani, S Ken_US
dc.date.accessioned2007-06-28en_US
dc.date.accessioned2009-05-30T10:22:13Z
dc.date.available2007-06-28en_US
dc.date.available2009-05-30T10:22:13Z
dc.date.issued2007-06-28en_US
dc.description.abstractOBJECTIVE: This study was undertaken to analyze the outcome of children with DKA treated with a modified protocol at a tertiary level teaching hospital PICU in Pune, Maharashatra. METHODS: We retrospectively analyzed case records of 12 patients (8 males and 4 females) with DKA (11 new and 1 readmission) admitted in our PICU from January 2005 to June 2006. Patients were managed according to a modified protocol (that is with less intensive biochemical monitoring when compared with standard book protocols). Laboratory parameters measured were blood glucose, urinary ketones, electrolytes, urea creatinine, arterial blood gas (ABG) and infectious screen. Treatment included fluid therapy and insulin infusion- 0.1 u/Kg short acting intravenously followed by 0.1 u/Kg/hr. No bicarbonate was administered as a bolus. RESULTS: Total fluid deficit was corrected slowly over a period of 36 hr. The median time to normalize ABG was 19 hr (5.3-39) while the median time for the urinary ketones to disappear was 1day (1-3). The child to nurse ratio was 1:2, there were 2 pediatric residents in house all 24 hr with an intensivist and pediatric endocrinologist on call. CONCLUSION: We have shown that when DKA is managed in a PICU setting using modified protocol, the outcome is good and complications such as brain edema can be prevented.en_US
dc.description.affiliationBharati Vidyapeeth Deemed University Medical College, Dhankawadi, Pune, India.en_US
dc.identifier.citationJahagirdar RR, Khadilkar VV, Khadilkar AV, Lalwani SK. Management of diabetic ketoacidosis in PICU. Indian Journal of Pediatrics. 2007 Jun; 74(6): 551-4en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/78574
dc.language.isoengen_US
dc.source.urihttps://medind.nic.in/icb/icbai.shtmlen_US
dc.subject.meshAge Distributionen_US
dc.subject.meshAnti-Bacterial Agents --therapeutic useen_US
dc.subject.meshBlood Glucose --analysisen_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshCombined Modality Therapyen_US
dc.subject.meshDiabetic Ketoacidosis --diagnosisen_US
dc.subject.meshFemaleen_US
dc.subject.meshFluid Therapy --methodsen_US
dc.subject.meshHumansen_US
dc.subject.meshIncidenceen_US
dc.subject.meshIndia --epidemiologyen_US
dc.subject.meshInsulin --administration & dosageen_US
dc.subject.meshIntensive Care Units, Pediatricen_US
dc.subject.meshMaleen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshRisk Assessmenten_US
dc.subject.meshSeverity of Illness Indexen_US
dc.subject.meshSex Distributionen_US
dc.subject.meshSurvival Rateen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleManagement of diabetic ketoacidosis in PICU.en_US
dc.typeJournal Articleen_US
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