Question

A 61-year-old woman with DKA has anion gap 20 and ketones elevated. Glucose now 180 mg/dL. What IV fluid is appropriate to add?

Accepted Answer

Dextrose-containing fluids (e.g. D5 0.45% NaCl) with ongoing insulin infusion

Answer

D5 0.45% NaCl) with ongoing insulin infusion

Answer

Normal saline only

Answer

No fluids while insulin runs

Answer

D5W only without electrolytes

Practice question

A 61-year-old woman with DKA has anion gap 20 and ketones elevated. Glucose now 180 mg/dL. What IV fluid is appropriate to add?