Question

A 59-year-old woman with long-standing T2DM presents with confusion, glucose 38 mmol/L, osmolality high, ketones 0.5 mmol/L, pH 7.36. Best initial fluid therapy?

Accepted Answer

0.9% sodium chloride IV

Answer

5% dextrose IV

Answer

Balanced crystalloid only after insulin

Answer

0.45% sodium chloride IV

Answer

No IV fluids; start insulin infusion only

Practice question

A 59-year-old woman with long-standing T2DM presents with confusion, glucose 38 mmol/L, osmolality high, ketones 0.5 mmol/L, pH 7.36. Best initial fluid therapy?