A 76-year-old with confusion, glucose 820 mg/dL, pH 7.36, effective osmolality 335 mOsm/kg, small ketones. Initial management priority?...

Question

A 76-year-old with confusion, glucose 820 mg/dL, pH 7.36, effective osmolality 335 mOsm/kg, small ketones. Initial management priority?

Accepted Answer

Large-volume isotonic crystalloid resuscitation

Answer

IV insulin bolus before fluids

Answer

Immediate bicarbonate infusion

Answer

Start DKA protocol with high-dose insulin

Answer

IV mannitol

us-abem MCQ (SBA): Hyperosmolar Hyperglycemic State