Question

A 20-year-old woman with Type 1 Diabetes is admitted with Diabetic Ketoacidosis (DKA). Her initial bloods show pH 7.1, Bicarbonate 10 mmol/L, Glucose 25 mmol/L, Potassium 3.2 mmol/L. She is started on a fixed-rate intravenous insulin infusion (FRIII) at 0.1 units/kg/hour. What is the most appropriate initial intravenous fluid management?

Accepted Answer

IV 0.9% Sodium Chloride 1L over 1 hour with 40mmol Potassium Chloride

Answer

IV 0.9% Sodium Chloride 1L over 1 hour without potassium

Answer

IV Hartmann's solution 1L over 1 hour

Answer

IV 10% Dextrose infusion

Answer

IV Sodium Bicarbonate infusion

Practice question