Question

A 24-year-old man with type 1 diabetes presents with DKA. VBG: pH 7.15, glucose 25 mmol/L, ketones 6.2 mmol/L, K+ 5.3 mmol/L. What is the most appropriate immediate fluid management?

Accepted Answer

1 L 0.9% sodium chloride over 1 hour

Answer

1 L 5% dextrose over 1 hour

Answer

Colloid bolus 500 mL over 15 minutes

Answer

Half-normal saline 0.45% over 1 hour

Answer

No fluids until insulin has started

Practice question

A 24-year-old man with type 1 diabetes presents with DKA. VBG: pH 7.15, glucose 25 mmol/L, ketones 6.2 mmol/L, K+ 5.3 mmol/L. What is the most appropriate immediate fluid management?