Question

A 34-year-old with confirmed DKA is drowsy, capillary glucose 28 mmol/L, ketones 6.0 mmol/L, pH 7.12, K⁺ 5.6 mmol/L. First management step?

Accepted Answer

Fluid resuscitation with 0.9% saline

Answer

Bolus 10 units IV insulin

Answer

Start fixed-rate IV insulin infusion 0.1 U/kg/h

Answer

Give IV potassium immediately

Answer

Give IV sodium bicarbonate

Practice question

A 34-year-old with confirmed DKA is drowsy, capillary glucose 28 mmol/L, ketones 6.0 mmol/L, pH 7.12, K⁺ 5.6 mmol/L. First management step?