Question

A 32-year-old woman with type 1 diabetes presents with vomiting and abdominal pain. Capillary glucose is 28 mmol/L and ketones are 4.5 mmol/L. Venous blood gas shows pH 7.15, Bicarbonate 10 mmol/L. What is the most critical initial management step?

Accepted Answer

Administer IV 0.9% Sodium Chloride 1L over the first hour

Answer

Administer IV Bicarbonate infusion

Answer

Administer subcutaneous long-acting insulin

Answer

Start a fixed-rate intravenous insulin infusion (FRIII) at 0.1 units/kg/hour

Answer

Start a variable-rate intravenous insulin infusion (VRIII)

Practice question

A 32-year-old woman with type 1 diabetes presents with vomiting and abdominal pain. Capillary glucose is 28 mmol/L and ketones are 4.5 mmol/L. Venous blood gas shows pH 7.15, Bicarbonate 10 mmol/L. What is the most critical initial management step?