Full clinical assessment

Paediatric Diabetic Ketoacidosis Clinical Assessment and Risk Stratification Full clinical assessment

1) Assessment of conscious level

Assessed using the Glasgow Coma Score[32]
If the child is comatose or has a reduced conscious level:
- Consider transfer to PICU/HDU if available
- Consider treatment for raised intracranial pressure (if clinical suspicion)
- Seek anaesthetic and senior paediatric support

Table2: Components of the Glasgow Coma Score (older children and adults)

2) Full physical examination

The presence of the following should be excluded:
- Cerebral oedema
- Infection
- Ileus

3) Weigh the child

If not possible due to the childs clinical condition:
- Most recent clinic weight
- Estimated weight from centile charts