Pediatric Diabetic Ketoacidosis Fluids (DKA) — free guideline decision tool
This calculator structures pediatric diabetic ketoacidosis fluid and insulin therapy by the ISPAD framework: initial bolus, deficit-plus-maintenance replacement over 24–48 hours, insulin infusion and potassium.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Common questions
What does Pediatric Diabetic Ketoacidosis Fluids (DKA) do?
Use in children with DKA to compute the initial bolus, the 48-hour fluid rate, the insulin infusion rate and potassium replacement.
How is the result calculated?
Initial isotonic bolus 10–20 mL/kg (shock 10/dose, repeat up to 40); deficit = % dehydration × weight; total = deficit + 2× Holliday-Segar maintenance, given over 48 h; insulin 0.05–0.1 U/kg/h started 1 h after fluids, no bolus; KCl 40 mmol/L; weight capped at 75 kg.
Is this a substitute for clinical judgement?
No. All results are decision-support only, for licensed clinicians. They must be individualized to the whole patient and the latest guideline version.
Run Pediatric Diabetic Ketoacidosis Fluids (DKA) now
This calculator structures pediatric diabetic ketoacidosis fluid and insulin therapy by the ISPAD framework: initial bolus, deficit-plus-maintenance replacement over 24–48 hours, insulin infusion and potassium.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.