A 46-year-old with long-standing type 2 diabetes presents with HHS (glucose 980 mg/dL, effective osmolality high, minimal ketones). First therapy?...

Question

A 46-year-old with long-standing type 2 diabetes presents with HHS (glucose 980 mg/dL, effective osmolality high, minimal ketones). First therapy?

Accepted Answer

Aggressive isotonic fluid resuscitation

Answer

Insulin bolus immediately

Answer

Bicarbonate infusion

Answer

D5W infusion

Answer

Immediate potassium regardless of level

us-abem MCQ (SBA): Hyperosmolar Hyperglycemic State