Question

A 52-year-old with DKA received 2 liters isotonic fluid and K⁺ is 4.4 mEq/L. Glucose 380 mg/dL, pH 7.21, bicarbonate 10 mEq/L, anion gap 20. What insulin regimen is recommended?

Accepted Answer

Start IV insulin infusion 0.1 U/kg/h

Answer

IV insulin bolus then 0.14 U/kg/h infusion

Answer

Subcutaneous insulin every 4 hours

Answer

Start insulin only after pH >7.3

Answer

Add bicarbonate infusion

Practice question

A 52-year-old with DKA received 2 liters isotonic fluid and K⁺ is 4.4 mEq/L. Glucose 380 mg/dL, pH 7.21, bicarbonate 10 mEq/L, anion gap 20. What insulin regimen is recommended?