Question

A 28-year-old with diabetic ketoacidosis has K⁺ 2.9 mEq/L, bicarbonate 10 mEq/L, and glucose 480 mg/dL. What is the best immediate step?

Accepted Answer

Start insulin after a 10-unit IV bolus

Answer

Start insulin infusion 0.1 units/kg/h

Answer

Give sodium bicarbonate bolus

Answer

Start normal saline and insulin together

Answer

Hold insulin and replete potassium first

Practice question

A 28-year-old with diabetic ketoacidosis has K⁺ 2.9 mEq/L, bicarbonate 10 mEq/L, and glucose 480 mg/dL. What is the best immediate step?