Care of the 21 cases of children with diabetic ketoacidosis Process suddenly disable or reduce the insulin dosage history, five cases due to improper diet, insulin insufficient cause ketoacidosis. 2 results in this group to ketosis acid towel poison as the first symptom l1 cases, accompanied by an infected person l4 cases, nine cases of misdiagnosis and mistreatment of persons of the medical staff, two cases of irregular medication or improper withdrawal, poor diet in five cases . By actively rescue Hominidae, rehydration, intravenous injection of small doses of insulin micro pump to correct electrolyte imbalance, treatment of predisposing factors and treatment measures to prevent complications, 21 patients were cured. Nursing Strategy 3.1 condition observed closely observe the patient’s consciousness, pupil and changes in vital signs. Children with severe dehydration and should observe their skin elasticity, dryness of the eyes depression and urine. Unconsciousness should children with indwelling catheter to monitor urine sugar and urine ketone bodies, an accurate record of 24 hours urine, children awake promptly after catheter removal, Nursing and the water to prevent urinary tract infections. 3.2 the rapid establishment of intravenous access diabetic ketoacidosis the acid towel poison severe dehydration, hypovolemia, tissue hypoperfusion of microcirculation, and only to play a normal physiological effect of insulin after rehydration. It should be two venous access --- one for rehydration, correction of acid, infection control, the first within 2 hours to give rapid injection of 0.9% saline by weight 20mL/kg the speed to correct dehydration； another one in the rehydration 0.05 ~ 0.1 u / (kg ·； h) speed 2h after continuous intravenous micro-pump into the regular insulin. Every 1h rapid blood glucose meter to monitor peripheral blood glucose, blood sugar adjustment of insulin dosage, treatment, strict control of the application of basic drugs to maintain the the l898 electrolyte and acid-base balance, anti-inflammatory, anti-shock, prevention and treatment of cerebral edema. 3.3 timely and accurate collection of specimen collection of blood samples is correct or not directly affect the test results. The same side of the body to prohibit the infusion of blood collection, the specimens to prevent shock drama in order to avoid hemolysis； Urine specimens, half an hour earlier told his children to empty the bladder, half an hour Urine specimens, in order to avoid specimen contains a bladder residual urine, a positive illusion of ketone body, affect the treatment. 3.4 foster children a good feeding behavior diabetes diet plan diet rather than a restricted diet, its purpose is to maintain normal blood glucose levels and ensure the child’s growth and development needs. To be in stable condition in children, teach children and parents to control diet, the distribution of church parents simple caloric conversion and food ingredients and the proportion of parents to formulate a diet plan. To pay attention to the cultivation of good feeding behavior of the children, if not to eat sweets, fried foods, drinks, eat fresh vegetables and obese children increased physical activity, kind to parents to explain the diabetic diet and to enable parents to participate in collaborative supervises the feeding behavior of the children. 3.5 psychological guidance of children with diabetes diet, limited mobility, so their childhood can not live like a normal child and learning, the children of the larger point is disturbed for their own family responsibilities, illnesses will make some children complain that life is unfair, resulting in depressed mood, and even reverse psychology. Therefore, until a stable condition in children, health care workers first of all to children with different psychological characteristics, educational level, in different ways and children with more exchanges, more communication, to understand their ideas, to explain the relevant diabetes knowledge, to understand diabetes can control the disease, patients with diabetes can work, study and life, as healthy people do with the development of medicine in the future can be better treatment, inspire their confidence to overcome the disease. 3.6 Health Education data show that most children from rural areas, the majority of children and parents to diabetes knowledge is extremely scarce, so the church children and parents of diabetes knowledge is of great significance to improve the quality of life of children. Children in hospital, ask, should guide children and parents to understand the basics of diabetes and ketoacidosis, such as the importance of diet and exercise for the treatment of diabetes, blood sugar fast method of monitoring, insulin injection method and the use of attention matters, taking care to children with self-protection awareness training. School-age children, parents should tell the teacher condition, and told his children to carry candy, cookies, and contact cards, cards specify the diagnosis, home address, parents contact telephone number and drug use, so that the condition changes contact. Adhere to the regular follow-up, can be effective in preventing the recurrence of ketoacidosis, improve the quality of life of children.