Pediatric Diabetes: Management of Acute Complications in the Emergency Department (Pharmacology CME) | Points & Pearls -
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Pediatric Diabetes: Management of Acute Complications in the Emergency Department (Pharmacology CME)

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Points & Pearls Excerpt

  • When evaluating ill children with suspicion for glucose abnormalities in the ED, history over the prior few months is critical. Questions may need to be tailored towards children, for example, asking about clothing fitting rather than “Have they lost weight?”
  • Ill children decompensate quickly and need expedient and aggressive fluid resuscitation. Children with HHS are usually moderately to severely dehydrated. They may be hypertensive despite being very dehydrated.
  • Children presenting with hyperglycemic crises may have an unknown primary trigger that may complicate the clinical picture. It is critical to consider an additional pathology, such as appendicitis, ovarian/testicular torsion, thyroid disease, or myocarditis, among others. (See Table 1.)
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Publication Information
Authors

Amani Sanchez, DO, FAAP; Timothy Ruttan, MD, FACEP, FAAP

Peer Reviewed By

Jay D. Fisher, MD, FACEP, FAAP; Joseph Wolfsdorf, MB, BCh

Publication Date

November 1, 2023

CME Expiration Date

November 1, 2026    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAP Prescribed Credits, 4 AOA Category 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credits, subject to your state and institutional approval.

Pub Med ID: 37877752

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