A 70‑kg adult with moderate DKA (glucose 480 mg/dL, pH 7.20) after initial labs should receive which fluid strategy in the first hour?...

Question

A 70‑kg adult with moderate DKA (glucose 480 mg/dL, pH 7.20) after initial labs should receive which fluid strategy in the first hour?

Accepted Answer

Isotonic saline or balanced crystalloid 1-1.5 L bolus

Answer

Half‑normal saline 1 L

Answer

D5½NS 1 L

Answer

No fluids until insulin started

Answer

Colloid bolus 500 mL

us-usmle-step-2 MCQ (SBA): DKA-Initial Fluids