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Pediatric DKA: A Quick Blurb
Pediatric DKA isn’t just “small adult DKA.”
Kids are often more dehydrated than they look, more prone to hypoglycemia and cerebral edema, and deserve careful, steady management. Fluids start with 10 cc/kg NS boluses, insulin runs at 0.05–0.1 U/kg/hr (never as a bolus), and electrolytes—especially potassium—must be watched closely. The two-bag system keeps glucose steady while ketoacidosis clears, balancing safety and control.