Question

A 28-year-old man with type 1 diabetes presents with DKA: glucose 25 mmol/L, ketones 5.5 mmol/L, pH 7.18. What is the most important initial management step?

Accepted Answer

Give 0.9% sodium chloride 1 L over the first hour

Answer

Start fixed-rate insulin infusion first

Answer

Start IV bicarbonate

Answer

Start potassium infusion immediately

Answer

Restrict oral fluids for 4 hours

Practice question

A 28-year-old man with type 1 diabetes presents with DKA: glucose 25 mmol/L, ketones 5.5 mmol/L, pH 7.18. What is the most important initial management step?