What is the appropriate action for a nurse caring for a child with diabetic ketoacidosis and a blood glucose level of 250mg/dL?

Administering D5NS (5% dextrose in normal saline) by continuous IV infusion is the appropriate action for a child with diabetic ketoacidosis (DKA) and a blood glucose level of 250 mg/dL. In DKA, the goal is to address hyperglycemia and dehydration and carefully manage fluid and electrolyte balance.

D5NS is typically used when the blood glucose levels fall below a certain threshold during treatment. As insulin is administered, it can lead to rapid decreases in blood glucose levels. Administering D5NS allows for a controlled correction of hyperglycemia while also providing necessary fluids to combat dehydration. The dextrose component helps prevent hypoglycemia, which might occur as insulin starts to reduce blood glucose levels.

Continuous IV infusion is essential in this scenario, as it allows for precise adjustments based on ongoing assessments of the child’s glucose and electrolyte balances. Monitoring and adjusting infusion rates are critical in a DKA scenario to avoid rapid swings in glucose levels and ensure the safety and comfort of the child.

While monitoring blood glucose levels every hour is necessary, it does not provide therapeutic intervention. Other options, such as oral rehydration therapy or administering insulin via the intramuscular route, are