A 35-year-old with DKA is on IV insulin at 0.1 U/kg/h. When plasma glucose falls to 190 mg/dL, what is the next step?...

Question

A 35-year-old with DKA is on IV insulin at 0.1 U/kg/h. When plasma glucose falls to 190 mg/dL, what is the next step?

Accepted Answer

Continue insulin and add dextrose-containing fluids to maintain glucose 150-200 mg/dL until ketoacidosis resolves

Answer

Stop insulin and start oral agents

Answer

Switch immediately to subcutaneous insulin and discharge

Answer

Give IV bicarbonate

Answer

Lower insulin to 0.01 U/kg/h and stop dextrose

us-abem MCQ (SBA): DKA management