A 28-year-old with DKA has glucose 28.9 mmol/L, venous pH 7.12, bicarbonate 10 mmol/L and potassium 3.0 mmol/L. Which intervention must occur before a...

Question

A 28-year-old with DKA has glucose 28.9 mmol/L, venous pH 7.12, bicarbonate 10 mmol/L and potassium 3.0 mmol/L. Which intervention must occur before a fixed-rate insulin infusion?

Accepted Answer

Give IV potassium replacement with cardiac monitoring

Answer

Give an IV insulin bolus with glucose monitoring

Answer

Give IV bicarbonate with electrolyte monitoring

Answer

Give dextrose infusion with repeat potassium testing

Answer

Start subcutaneous basal insulin with fluid replacement

DKA — MRCEM SBA MCQ

A 28-year-old with DKA has glucose 28.9 mmol/L, venous pH 7.12, bicarbonate 10 mmol/L and potassium 3.0 mmol/L. Which intervention must occur before a fixed-rate insulin infusion?