Head of bed at 30 degrees
Mannitol 0.5-1gm/kg IV bolus over 20 minutes
Give a repeat does if there is an inadequate response
If 2 doses of mannitol are ineffective, consider 3% saline 10mL/kg over 30min
Fluid restriction - decrease the IVF infusion rate by 30%
Treat noncardiogenic pulmonary<unk> , if present
Consult neurosurgery (and PICU/ICU as appropriate)
Give a repeat does if there is an inadequate response
If 2 doses of mannitol are ineffective, consider 3% saline 10mL/kg over 30min
Treat noncardiogenic pulmonary<unk> , if present
Cerebral edema in DKA
Physiologic stress response 
Diabetic ketoacidosis 
Diabetes mellitus 
Diabetic ketoacidosis
Nonketotic hyperglycemia
Alcoholic ketoacidosis
Hyperosmolar hyperglycemic state 