Which intervention is essential when responding to a child in DKA?

In the context of a child presenting with diabetic ketoacidosis (DKA), the administration of IV insulin continuously is a critical intervention. DKA occurs when there is a severe deficiency of insulin in the body, leading to high blood glucose levels and the production of ketones, which results in metabolic acidosis.

Using IV insulin is essential because it provides a rapid and controlled means to reduce blood glucose levels and halt the production of ketones. This approach is preferred over other methods as it allows for precise titration based on the child’s response to treatment. Monitoring blood glucose and ketone levels during this continuous infusion helps ensure that the patient is progressively stabilized and that the complications associated with DKA are mitigated.

Other interventions, while important in the management of DKA, do not address the primary underlying issue of insulin deficiency as effectively as continuous IV insulin does. For example, oral glucose supplements would not be appropriate as they can further elevate blood sugar levels in the context of DKA. Similarly, providing fluids containing sodium bicarbonate is generally not the standard practice and may not be necessary unless there is severe acidosis that is not responding to other treatments. Increasing activity levels is contraindicated during the DKA phase, as it can exacerbate the condition