Question

A 27-year-old with DKA receives initial crystalloids; serum K+ is 4.0 mEq/L. What is the appropriate insulin strategy?

Accepted Answer

Start IV regular insulin infusion at 0.1 units/kg/h

Answer

IV regular insulin bolus 0.15 units/kg then infusion 0.1 units/kg/h

Answer

Hold insulin until anion gap normalizes

Answer

Start subcutaneous rapid-acting insulin every 2 hours

Answer

Increase fluids only; insulin is deferred until K+ >5.0

Practice question

A 27-year-old with DKA receives initial crystalloids; serum K+ is 4.0 mEq/L. What is the appropriate insulin strategy?