Vomiting in Pediatrics — 12yo Child | Pediatric Endocrinology | SMLE Q#16710
SMLE Question #16710
Pediatrics
Pediatric Endocrinology
Objective: OBJ-173
Last updated: February 2026
A 12-year-old boy with type 1 diabetes presents with vomiting, abdominal pain, and deep rapid breathing. He is treated for diabetic ketoacidosis with IV 0.9% saline and a continuous insulin infusion. Two hours after starting therapy, he develops worsening headache, becomes increasingly drowsy, and then loses consciousness. What is the most appropriate next step in management?
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