Question

A 45-year-old with poorly controlled type 1 diabetes presents with vomiting, abdominal pain, and confusion. Blood gases reveal high anion gap metabolic acidosis. Which is the first step in management?

Accepted Answer

Intravenous fluids with saline

Answer

Immediate IV insulin infusion

Answer

Bicarbonate infusion

Answer

Potassium replacement

Answer

Check serum ketones

Practice question

A 45-year-old with poorly controlled type 1 diabetes presents with vomiting, abdominal pain, and confusion. Blood gases reveal high anion gap metabolic acidosis. Which is the first step in management?