A 23-year-old with type 1 diabetes presents with nausea, abdominal pain and polyuria. Capillary ketones are 4.1 mmol/L, venous pH 7.22, glucose 24 mmo...

Question

A 23-year-old with type 1 diabetes presents with nausea, abdominal pain and polyuria. Capillary ketones are 4.1 mmol/L, venous pH 7.22, glucose 24 mmol/L. Which is the correct immediate management priority?

Accepted Answer

Administer IV fluids (0.9% saline) and potassium replacement as indicated, then fixed-rate IV insulin

Answer

Start IV insulin infusion first, then fluids as needed

Answer

Give IV bicarbonate urgently

Answer

Start long-acting insulin only

Answer

Withhold insulin until glucose is

ukmla MCQ (SBA): Diabetic ketoacidosis

A 23-year-old with type 1 diabetes presents with nausea, abdominal pain and polyuria. Capillary ketones are 4.1 mmol/L, venous pH 7.22, glucose 24 mmol/L. Which is the correct immediate management priority?