The fields with the red border are required.

Weight (kg) : Lbs
       
1. NS Bolus 20 cc/kg x1 cc  
2. Then 1/2 NS + KCL @ 1.5 x Maint. IVF (4cc/kg/hr)

Serum K > 5   = No replacement
Serum K 4-5   = 20 mEq
Serum K < 4   = 30 mEq
 
cc/hr  
3. Insulin @ 0.1 U/kg/hr (NO BOLUS) Units/hr  
4. After serum glucose < 250:  Start D10 1/2 NS + KCL    
initial rate of D10 1/2NS = 0.75 Maint. Rate cc/hr  
Reduce 1/2 NS to 0.75 x Maint. Rate cc/hr  

Titrate D10 1/2 NS Q1hr to keep serum glucose between 100-200
Total IVF rate should be 1.5 xMaint. Rate
   
Stop Insulin drip when pH > 7.30 and HCO3 > 18.    
Treatment of Cerebral Edema:
 Protect airway if needed, head of bead 30 deg.
 Decrease IVF rate to 0.5 x maint. Rate
 Consider mannitol 0.5 g/kg
 Neurosurgery consult, ICU admission
   
General ICU Criteria:
 pH < 7.10, Mental status change, Age <3
 VS instability, Respiratory insufficiency.
 Initial serum glucose > 1000