Question

A 21-year-old with type 1 diabetes presents with DKA: capillary glucose 28 mmol/L, ketones 5.4 mmol/L, pH 7.18. First fluid bolus?

Accepted Answer

0.9% saline 1 L over 15 minutes

Answer

0.45% saline 1 L over 1 hour

Answer

5% dextrose 1 L over 1 hour

Answer

10% dextrose 500 mL over 30 minutes

Answer

Hartmann's 250 mL over 30 minutes

Practice question

A 21-year-old with type 1 diabetes presents with DKA: capillary glucose 28 mmol/L, ketones 5.4 mmol/L, pH 7.18. First fluid bolus?