The management of paediatric diabetic ketoacidosis (DKA) requires meticulous fluid and electrolyte administration, where established protocols guide gradual rehydration and metabolic correction.1,2 While the academic debate between saline 0·9% and balanced crystalloids like Ringer’s solution continues, practical considerations regarding additive compatibility with Ringer’s solution, particularly at DKA onset, deserve specific attention. In paediatric DKA, aggressive and precise electrolyte repletion, especially of potassium and often phosphate, is fundamental.
Fluids in paediatric diabetic ketoacidosis: the choice is not solely academic
Marigliano, Marco;
2025-01-01
Abstract
The management of paediatric diabetic ketoacidosis (DKA) requires meticulous fluid and electrolyte administration, where established protocols guide gradual rehydration and metabolic correction.1,2 While the academic debate between saline 0·9% and balanced crystalloids like Ringer’s solution continues, practical considerations regarding additive compatibility with Ringer’s solution, particularly at DKA onset, deserve specific attention. In paediatric DKA, aggressive and precise electrolyte repletion, especially of potassium and often phosphate, is fundamental.
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