Question

A patient with DKA arrives: glucose 520 mg/dL, pH 7.12, anion gap 24, K⁺ 2.9 mEq/L. After 1 L balanced crystalloid, the next best step is:

Accepted Answer

Hold insulin; replete potassium to ≥3.3 mEq/L then start 0.1 units/kg/hr

Answer

Give IV insulin bolus 0.1 units/kg then infusion

Answer

Administer 10 units IV regular insulin immediately

Answer

Begin insulin infusion 0.14 units/kg/hr without bolus

Answer

Start bicarbonate because pH <7.2

Practice question

A patient with DKA arrives: glucose 520 mg/dL, pH 7.12, anion gap 24, K⁺ 2.9 mEq/L. After 1 L balanced crystalloid, the next best step is: