in pediatric er when we get a case of dka we always make him/her in npo , even in older childs , because we think they are going to vomit , or we think that even drinking a small amount of water will make them prolonged acidoisis ,

so i prupose to make a trial of making those kids drinks small amounts of carbonated water , for many reasons .

1- it will lower the gastric acidity so it will decrease the reflex mechanism of body of it wanting to vomit (get rid of acidity )

2-decrease the psycological stress of the child that he or she is thirsty and you are depriving them of water (stress furthur aggrevates acidoisis )

3-carbonated water and oral dydration will hasten the recovery from acidoisi.