Question

A 25-year-old with type 1 diabetes presents with polyuria, Kussmaul respirations, glucose 420 mg/dL, pH 7.10, and anion gap 24. Initial management should include which fluid strategy?

Accepted Answer

1-1.5 L of 0.9% saline over the first hour

Answer

D5W 1 L over 30 minutes

Answer

No fluids until potassium is corrected

Answer

0.45% saline 250 mL/h for 4 hours

Answer

Colloid solution 30 mL/kg

Practice question

A 25-year-old with type 1 diabetes presents with polyuria, Kussmaul respirations, glucose 420 mg/dL, pH 7.10, and anion gap 24. Initial management should include which fluid strategy?