A 59-year-old woman with DKA on insulin infusion has glucose 210 mg/dL; anion gap persists. Next insulin/fluids step?...

Question

A 59-year-old woman with DKA on insulin infusion has glucose 210 mg/dL; anion gap persists. Next insulin/fluids step?

Accepted Answer

Add dextrose-containing fluids and continue insulin until ketoacidosis resolves

Answer

Stop insulin infusion now

Answer

Switch to subcutaneous insulin immediately

Answer

Give bicarbonate to close gap

Answer

Restrict fluids

us-usmle-step-2 MCQ (SBA): DKA-Transition with Dextrose