Lab Case 83 – Interpretation

An unwell 5 year old child with vomiting

  1. HAGMA – high ketones, low glucose, normal Creat, lactate – suggests starvation ketoacidosis

Delta ratio – 0.76 – close to 0.8, likely pure HAGMA

compensation is adequate

Corrected K – 4.3

2.  ivi access – 10% dextrose bolus

5% dextrose/ 0.5 normal saline infusion – as per weight

look for cause

Paeds admission

social issues

 

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