Dosing Insulin in Sick Pediatric Diabetic with Hyperglycemia

Purpose: To manage an insulin-dependent pediatric patient who is ill and hyperglycemic.

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Evaluation

Are you evaluating an insulin-dependent diabetic patient who is sick?

Yes

Age of the patient

years

Blood glucose

Does the patient have a source of excessive fluid loss (vomiting, diarrhea)?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Is there a need to give more insulin?

Dose of extra-rapid or short-acting insulin to give

Dosing interval for insulin

Does the patient need to ingest non-glucose containing fluids?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Laboratory Tests
Other Testing
- Drugs Capable of Causing Hypoglycemia
- Risk Factors Contributing to a Delay in the Diagnosis of Diabetes Mellitus
Criteria For Diagnosis
Severity, Prognosis, Stage
- Indian Diabetes Risk Score (IDRS)
Complications
Failure Handling, When To Refer
- Risk Factors Contributing to a Delay in the Diagnosis of Diabetes Mellitus

Therapy

Options
- Diabetes Mellitus | Guidelines for Hospital Admission
- Recommendations for Managing a Diabetic in the Hospital
Selection
Drug Interactions
- Drugs Capable of Causing Hypoglycemia
Dosage Calculations
- Glycemic Penalty Index (GPI)
Dosage Adjustments
Administration
Failure Handling And Therapy Escalation
- Troubleshooting Diabetic Patient with Persistently High Hemoglobin A1c
- Patient Management | Type 2 Diabetes Poorly Controlled | Single Oral Hypoglycemic Agent
Prevention

Monitoring

Response To Therapy
- Diabetes Mellitus Performance Measures for Evaluating Outpatient Management
Adverse Effects
Overdose And Reversal
- Prolonged Hypoglycemia | Use of Sulfonylurea and Its Treatment with Octreotide
Disease Progression
Complication Detection
- Risk Factors for Failing to Recognize Hypoglycemia in a Diabetic
- Screening Patients for Drug-Induced Hyperglycemia

Patient Concerns

Travel
- Glycemic Penalty Index (GPI)

Specialty

Endocrinology
Clinical Laboratory

Objective

dosage adjustments

ICD-10

E10 - Insulin-dependent diabetes mellitus
R73.9 - Hyperglycaemia, unspecified

Info

Purpose: To manage an insulin-dependent pediatric patient who is ill and hyperglycemic.

Specialty: Endocrinology, Clinical Laboratory

Objective: dosage adjustments

ICD-10: E10, R73.9,

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