Question

A 24-year-old woman with type 1 diabetes presents with abdominal pain and vomiting. Venous pH 7.17, ketones 5.8 mmol/L, glucose 28 mmol/L, potassium 5.6 mmol/L. After giving 1 L 0.9 percent saline, what is the next most appropriate step?

Accepted Answer

Start a fixed-rate IV insulin infusion at 0.1 units per kg per hour

Answer

Add potassium to the first fluid bag

Answer

Give IV sodium bicarbonate

Answer

Start 10 percent dextrose infusion immediately

Answer

Give a stat IV bolus of insulin

Practice question

A 24-year-old woman with type 1 diabetes presents with abdominal pain and vomiting. Venous pH 7.17, ketones 5.8 mmol/L, glucose 28 mmol/L, potassium 5.6 mmol/L. After giving 1 L 0.9 percent saline, what is the next most appropriate step?