Question

A 36-year-old with T1D presents with nausea and abdominal pain. Glucose 420 mg/dL, serum ketones positive, pH 7.19, bicarbonate 12 mEq/L, anion gap 22, K⁺ 3.1 mEq/L. What is the next best step in DKA management?

Accepted Answer

Administer IV potassium and hold insulin until K⁺ is ≥3.3 mEq/L

Answer

Start IV insulin infusion 0.1 U/kg/h immediately

Answer

Give IV bicarbonate

Answer

Begin dextrose 10% infusion immediately

Answer

Administer subcutaneous insulin lispro every hour

Practice question

A 36-year-old with T1D presents with nausea and abdominal pain. Glucose 420 mg/dL, serum ketones positive, pH 7.19, bicarbonate 12 mEq/L, anion gap 22, K⁺ 3.1 mEq/L. What is the next best step in DKA management?