A 9-year-old girl with newly diagnosed type 1 diabetes has been on the paediatric ward for eight hours receivi…

Question

A 9-year-old girl with newly diagnosed type 1 diabetes has been on the paediatric ward for eight hours receiving intravenous fluid and an insulin infusion for ketoacidosis; her admission venous pH was 7.08. She had been improving and chatting to her parents. Over the last thirty minutes she has vomited twice, says she has a bad headache and has become difficult to rouse. Her pulse has fallen from 130 to 68/min and her blood pressure has risen. Capillary glucose is 9.4 mmol/L. Which one of the fo…

Accepted Answer

Mannitol 20%, 0.5 g/kg intravenously

Answer

Glucose 10% intravenous infusion

Answer

Ondansetron 0.15 mg/kg intravenously

Answer

Potassium chloride 0.5 mmol/kg intravenously

Answer

Sodium chloride 0.9%, 10 mL/kg bolus

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