An unwell 5 year old child with vomiting
- 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