Question

A 34-year-old with type 1 diabetes develops abdominal pain, vomiting and Kussmaul respirations. Capillary ketones 5.2 mmol/L, glucose 22 mmol/L, venous pH 7.21. What is the priority initial therapy?

Accepted Answer

Fixed-rate IV insulin infusion and fluid resuscitation

Answer

IV sodium bicarbonate infusion

Answer

Immediate IV dextrose infusion

Answer

Subcutaneous rapid-acting insulin every hour

Answer

Oral metformin

Practice question

A 34-year-old with type 1 diabetes develops abdominal pain, vomiting and Kussmaul respirations. Capillary ketones 5.2 mmol/L, glucose 22 mmol/L, venous pH 7.21. What is the priority initial therapy?