A 22-year-old woman with Type 1 Diabetes is admitted with DKA. Her initial potassium is 3.1 mmol/L. Fluid resuscitation is commenced. What is the most...

Question

A 22-year-old woman with Type 1 Diabetes is admitted with DKA. Her initial potassium is 3.1 mmol/L. Fluid resuscitation is commenced. What is the most critical action regarding insulin administration?

Accepted Answer

Delay FRIII until potassium replacement has commenced and K+ is ≥3.3 mmol/L

Answer

Start fixed-rate insulin infusion (FRIII) immediately at 0.1 units/kg/hr

Answer

Start FRIII immediately at 0.05 units/kg/hr

Answer

Administer IV sodium bicarbonate before starting insulin

Answer

Start variable rate insulin infusion (VRIII) immediately

mrcp part 1 MCQ (SBA): Diabetic Ketoacidosis (DKA)

A 22-year-old woman with Type 1 Diabetes is admitted with DKA. Her initial potassium is 3.1 mmol/L. Fluid resuscitation is commenced. What is the most critical action regarding insulin administration?