Question

A 28-year-old with DKA has potassium 3.0 mEq/L, bicarbonate 10 mEq/L, and glucose 520 mg/dL. What is the next step before starting insulin?

Accepted Answer

Replace potassium to >3.3 mEq/L before insulin

Answer

Start IV insulin immediately

Answer

Give bicarbonate infusion

Answer

Start dextrose 5% fluids now

Answer

Bolus 10 units IV insulin

Practice question

A 28-year-old with DKA has potassium 3.0 mEq/L, bicarbonate 10 mEq/L, and glucose 520 mg/dL. What is the next step before starting insulin?