Question

A 44-year-old with type 1 diabetes presents with DKA: pH 7.12, HCO₃⁻ 10 mEq/L, anion gap 24, K⁺ 5.2 mEq/L. After 1-2 L balanced crystalloid, what is the recommended initial insulin infusion?

Accepted Answer

0.1 units/kg/h IV (no bolus)

Answer

0.05 units/kg/h IV without bolus

Answer

0.2 units/kg/h IV with 0.1 unit/kg bolus

Answer

Subcutaneous lispro every 2 hours

Answer

Delay insulin until K⁺ <4.0 mEq/L

Practice question

A 44-year-old with type 1 diabetes presents with DKA: pH 7.12, HCO₃⁻ 10 mEq/L, anion gap 24, K⁺ 5.2 mEq/L. After 1-2 L balanced crystalloid, what is the recommended initial insulin infusion?