Question

A 19-year-old woman with type 1 diabetes presents with vomiting, abdominal pain and Kussmaul breathing. Venous blood gas shows pH 7.12, bicarbonate 7 mmol/L and capillary ketones 6 mmol/L. What is the first intravenous fluid that should be started in the emergency department?

Accepted Answer

0.9% sodium chloride without added potassium

Answer

0.45% sodium chloride

Answer

5% dextrose with 20 mmol KCl

Answer

Hartmann's solution

Answer

0.9% sodium chloride with 40 mmol KCl

Practice question

A 19-year-old woman with type 1 diabetes presents with vomiting, abdominal pain and Kussmaul breathing. Venous blood gas shows pH 7.12, bicarbonate 7 mmol/L and capillary ketones 6 mmol/L. What is the first intravenous fluid that should be started in the emergency department?