MedBugs: SAQ #513

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Case: Paediatric diabetic ketoacidosis

A 4-year-old boy presents to ED with a 2-day history of worsening nausea, vomiting, and abdominal pain. He is drowsy, mildly tachypnoeic and clinically dehydrated. VBG: pH 7.08 pCO2 30 HCO3 10 BE -20 Na 140 K 4.1 Cl 100 Ure 20 Creat 160 Lactate 4.7 Glucose 40

1. Give (3) important equations and their interpretation. 6 marks

2. Outline (6) key principles in the emergency management of this child. 6 marks

The child develops a generalised tonic-clonic seizure 2 hours after treatment begins.

3. List (3) possible causes of the seizure that develops during treatment. 3 marks

4. Outline (3) actions you might take to terminate this seizure. 3 marks

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Case: Paediatric diabetic ketoacidosis

1. Give (3) important equations and their interpretation. 6 marks

2. Outline (6) key principles in the emergency management of this child. 6 marks

3. List (3) possible causes of the seizure that develops during treatment. 3 marks

4. Outline (3) actions you might take to terminate this seizure. 3 marks

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