Pediatric Metabolism

Question 1

Basal Insulin

Answer 1

• Background insulin, present 24 hrs a day with / without food

Question 2

Bolus Insulin

Answer 2

• Extra amounts of insulin the pancreas would naturally make in response to glucose taken through food

Question 3

DKA 4 findings

Answer 3

• Hyperglycemia leading to
• Glycosuria
• Ketonuria
• Metabolic Acidosis
• Also:
• Dehydration
• Altered electrolytes

Question 4

DKA Management

Answer 4

• Rehydrate
• Insulin
• Electro replacement

Question 5

DKA Treatment

Answer 5

• 2 bag system: IVF w/o dextrose
• IVF w dextrose 10% when BG is 250 or lower
• Insulin drip