Question

A 28-year-old with type 1 diabetes presents with polyuria, abdominal pain, and vomiting. VBG: pH 7.18, bicarbonate 10 mmol/L, ketones 5.8 mmol/L, glucose 22 mmol/L. Initial priority management?

Accepted Answer

Start insulin infusion 0.1 units/kg/h after fluid bolus

Answer

Give IV bicarbonate

Answer

Start insulin infusion without fluids

Answer

Immediate dextrose infusion

Answer

Start long-acting insulin double dose

Practice question

A 28-year-old with type 1 diabetes presents with polyuria, abdominal pain, and vomiting. VBG: pH 7.18, bicarbonate 10 mmol/L, ketones 5.8 mmol/L, glucose 22 mmol/L. Initial priority management?