Pediatric Maintenance Fluids4mL/kg/hr for the first 10kg 2mL/kg/hr for the second 10kg 1mL/kg/hr for each kg of body weight above 20kg Pediatric DKA Interventions-Begin regular insulin infusion at ... 0.1 units/kg/hr -Monitor BGL every 30 min and adjust therapy to decrease serum glucose no more than 100 per hour -If serum glucose decreases by more than 100 per hour add D5 to it fluids -change IV fluids to D5W if serum glucose drops below 300 -Potassium replacement should be started once urinary output is confirmed 10-20 mEq per hour (with physician order only) -if serum K+ <5 consider potassium supplement KCI IV - if signs of cerebral edema consider mannitol 1g/kg IV with physicians order [Show More]
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