PT  - JOURNAL ARTICLE
AU  - Sophie McGregor
AU  - Daniel L. Metzger
AU  - Shazhan Amed
AU  - Ran D. Goldman
TI  - Fluid management in children with diabetic ketoacidosis
DP  - 2020 Nov 01
TA  - Canadian Family Physician
PG  - 817--819
VI  - 66
IP  - 11
4099  - http://www.cfp.ca/content/66/11/817.short
4100  - http://www.cfp.ca/content/66/11/817.full
SO  - Can Fam Physician2020 Nov 01; 66
AB  - Question Previous research has indicated that rapid rehydration in children with type 1 diabetes who present with diabetic ketoacidosis could result in cerebral edema. I have been treating patients with diabetic ketoacidosis with gradual fluid replacement. With the risk of cerebral injury in these patients, should I continue management with slow fluid rehydration?Answer Recent research has shown that neither fluid infusion rate nor sodium chloride concentration increases risk of cerebral injury. However, it is possible for subtle brain injury to occur during treatment, regardless of the fluid administration strategy. The 2018 International Society for Pediatric and Adolescent Diabetes guidelines have been updated in light of this research.