A 19-year-old man with known Type 1 Diabetes presents with vomiting, abdominal pain, and confusion. His breath smells of ketones. Blood gas analysis s...

Question

A 19-year-old man with known Type 1 Diabetes presents with vomiting, abdominal pain, and confusion. His breath smells of ketones. Blood gas analysis shows pH 7.15, bicarbonate 12 mmol/L. Capillary blood glucose is 25 mmol/L. Capillary ketones are 4.5 mmol/L. What is the most crucial initial step in management?

Accepted Answer

Intravenous 0.9% sodium chloride 1 litre over the first hour

Answer

Intravenous insulin infusion at 0.1 units/kg/hour

Answer

Intravenous bicarbonate infusion

Answer

Subcutaneous long-acting insulin injection

Answer

Intravenous potassium chloride infusion

ukmla MCQ (SBA): Diabetic Ketoacidosis (DKA)