Question

A 28-year-old with type 1 diabetes presents with nausea and abdominal pain. Capillary ketones 4.2 mmol/L, venous pH 7.21, glucose 22 mmol/L. What is the first priority in management?

Accepted Answer

1 L 0.9% sodium chloride IV over 1 hour

Answer

IV insulin bolus 10 units then infusion

Answer

Start IV insulin infusion only

Answer

Immediate potassium replacement

Answer

IV bicarbonate infusion

Practice question

A 28-year-old with type 1 diabetes presents with nausea and abdominal pain. Capillary ketones 4.2 mmol/L, venous pH 7.21, glucose 22 mmol/L. What is the first priority in management?