07-30-2020, 07:26 AM
(This post was last modified: 09-14-2020, 11:27 AM by ShellyKoochin.
Edit Reason: To align with Provincial Guideline updated by BC Children's Hospital
)
Pediatric DKA
Created Nov 2015
Updated: Sept 2020
Contact Information
Developed by: Dr. T. Ring (adapted by J. Slinn). Updated by E. McFee (September 11, 2020)
Developed for: Interior Health
Submitted by: CHolmes
Contact Email: simulation@interiorhealth.ca
Peer Reviewed: <strong>No</strong> (Has not been peer reviewed or the information will be provided later)
Scenario Information
Case Summary:
8 year old boy is brought in by grandparents to ED with a 2 week hx of fever and lethargy. Very unwell in last 24 hours – excessively drowsy, very poor energy, difficulty breathing, abdominal pain, no vomiting.
Target Learning Groups:
Physicians, Nursing, Respiratory Therapy, Interprofessional Team
Additional Target Learning Groups:
Proposed Setting:
Emergency Dept
Educational Goals:
Recognize acidosis, hyperglycemia, prerenal azotemia and co-existent hyperglycemic hyperosmolar state (HHS)
Recognize frequency of subclinical cerebral edema in DKA
Demonstrate effective management of DKA, HHS and suspected cerebral edema
Demonstrate intubation of pediatric patient
Peer Review Information
Clinical Content Peer Review
Clinical Content Reviewer: Unknown Reviewed on: Unknown
Notes on Clinical Content Peer Review:
Unknown
Simulation/Educational Review
Simulation/Educational Reviewer: Unknown Reviewed on: Unknown
Notes on Simulation/Educational Peer Review:
Unknown
Simulation/Educational Real Time Review
Simulation/Educational Real Time Reviewer: Unknown Reviewed on: Unknown
Notes on Simulation/Educational Real Time Peer Review:
Unknown
Extra Information
Additional Details:
Skills: pediatric IV therapy, pediatric airway management
Specific management needs to be updated to most recent DKA guidelines
References:
Scenario Links:
Additional Tags:
If you would like further information about this scenario please contact simulation@interiorhealth.ca or leave a comment below.