A 59-year-old man admitted with DKA: glucose 520 mg/dL, pH 7.12, bicarbonate 10 mEq/L, K+ 4.8 mEq/L. After initial isotonic fluids, which insulin regi...

Question

A 59-year-old man admitted with DKA: glucose 520 mg/dL, pH 7.12, bicarbonate 10 mEq/L, K+ 4.8 mEq/L. After initial isotonic fluids, which insulin regimen is recommended?

Accepted Answer

bicarbonate 10 mEq/L

Answer

pH 7.12

Answer

K+ 4.8 mEq/L

Answer

After initial isotonic fluids

Answer

IV regular insulin infusion 0.1 units/kg/h without bolus

"standard dka therapy uses iv regular insulin at 0.1 units/kg/h (with or without 0.1 u/kg bolus) after fluids

A 59-year-old man admitted with DKA: glucose 520 mg/dL, pH 7.12, bicarbonate 10 mEq/L, K+ 4.8 mEq/L. After initial isotonic fluids, which insulin regimen is recommended?