Transcription of Diabetic Ketoacidosis (DKA) and Hyperosmolar ...
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Diabetic Ketoacidosis (DKA) and Hyperosmolar hyperglycaemic State (HHS) - emergency management in children Purpose This document provides clinical guidance for all staff involved in the care and management of a child or adolescent with Diabetic Ketoacidosis (DKA) and Hyperosmolar hyperglycaemic state (HHS) presenting to an emergency Department (ED) in Queensland. This guideline has been developed by senior ED clinicians and Paediatricians across Queensland, with input from Endocrinology, Critical Care and Pharmacy, Queensland Children s Hospital, Brisbane. It has been endorsed for statewide use by the Queensland emergency Care of Children Working Group in partnership with the Queensland emergency Department Strategic Advisory Panel and the Healthcare Improvement Unit, Clinical Excellence Queensland. Key points DKA potentially fatal metabolic disorder. diagnosis requires hyperglycaemia (blood glucose level (BGL) greater than 11mmol/L), venous pH less than and/or HCO3 less than 15 mmol/L and moderate/large ketonaemia/ketonuria.
CHQ-GDL-60016 Diabetic Ketoacidosis (DKA) and Hyperosmolar Hyperglycaemic State (HHS) - Emergency management in children - 2 - Introduction Diabetes ketoacidosis (DKA) DKA is a metabolic disorder and the leading cause of morbidity and mortality in children and adolescents with type 1 diabetes.
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