Outcome of children with diabetic ketoacidosis treated with a modified protocol
Journal Title: Asian Pacific Journal of Health Sciences - Year 2017, Vol 4, Issue 4
Abstract
Introduction: The majority of children with moderate diabetic ketoacidosis (DKA) and all children with severe DKA should be treated in a medical facility. This is unique issues that arise in DKA in the young. Aim: Study was undertaken to analyze the outcome of children with DKA treated with a modified protocol. Materials and Methods: We have analyzed 35 patients with DKA admitted in our Pediatric Intensive Care Unit. Patients were managed according to a modified protocol. Laboratory parameters measured were blood glucose, urinary ketones, electrolytes, urea creatinine, and arterial blood gas. Results: Over a period of 12 months, 35 patients of DKA are admitted, out of these, 10 (29%) were male and 25 (71%) were female. Age group ranged between 4 months and 13 years with mean age of 5.63 years. Diabetes mellitus was newly diagnosed at presentation in 40% (14 cases) of cases, 43% (15 cases) of cases were due to non-compliance, and 17% (6 cases) were due to fever (stress). The presenting most common symptoms were polyuria/polydipsia (68.5%). Most commonly observed clinical sign was 54.2% (19 cases) had dehydration, majority of the cases (42%) presented in our institute are due to poor compliance. 40% of cases are newly diagnosed. Of these newly diagnosed cases, 5.7% (2 cases) of cases who were infants, presented in severe respiratory distress, thought to be severe bronchopneumonia had come out to be DKA. Out of 35 cases hospitalized, 32 cases (91.4%) recovered without any complications of DKA. Average recovery time in these patients is 23.15 h. 2 cases died due to uncontrolled septicemia despite good glucose control and stabilization of their ketoacidosis state. Conclusions: There should be high index of suspicion necessary on the part of the clinician.
Authors and Affiliations
Dr. K. Suma,
Keywords
Related Articles
- EP ID EP526191
- DOI 10.21276/apjhs.2017.4.4.36
- Views 200
- Downloads 0
Correlation of GeneXpert and cerebrospinal fluid culture in patients of tubercular meningitis
Background: Mycobacterium tuberculosis (MTB) remains one of the most common causes of mortality and morbidity in India. Therefore, an apart from an early diagnosis and detection of rifampin (RIF) resistance is also very...
Antioxidant activity and improvement in the yield of antioxidant compounds
Antioxidants are the first line of defense against free radical damage and are critical for maintaining optimum health and well-being. Exposure of biological system to xenobiotics, pollutants, ionizing radiations or UV l...
Intraoral radiographic diagnosis and management of an aberrant mandibular premolar: a case report
Mandibular premolars are known for their aberrant root canal variations. This is because, they are highly unpredictable and often present with a wide variety of morphological variations. Slowey et al. reported that these...
A STUDY OF MANAGEMENT OF TIBIAL SHAFT FRACTURES BY INTRAMEDULLARY INTERLOCKING NAILING
Fractures of diaphysis of tibia is quite common in orthopedic practice and are common entities that occur in road traffic accidents. However, management of these fractures are quite problematic and are challenging for or...
Serum Iron profile in Female patients of Melasma: A case control study
Background: Melasma is a common acquired pigmentary dermatosis characterized by presence of symmetric, hyperpigmented patches, most commonly seen on the face. It is most commonly seen in young to middle aged females. The...