Question

A 64-year-old woman with DKA has serum bicarbonate 9 mEq/L and pH 7.05. She is hemodynamically stable. What is the bicarbonate recommendation?

Accepted Answer

Do not routinely give bicarbonate unless pH <6.9

Answer

Give bicarbonate routinely for all DKA

Answer

Give bicarbonate when HCO₃⁻ <12 mEq/L

Answer

Give bicarbonate to normalize lactate

Answer

Give bicarbonate if anion gap elevated

Practice question

A 64-year-old woman with DKA has serum bicarbonate 9 mEq/L and pH 7.05. She is hemodynamically stable. What is the bicarbonate recommendation?