A 74-year-old with HHS presents with glucose 980 mg/dL, serum osm 335 mOsm/kg, pH 7.38. What is the first treatment priority?...

Question

A 74-year-old with HHS presents with glucose 980 mg/dL, serum osm 335 mOsm/kg, pH 7.38. What is the first treatment priority?

Accepted Answer

Aggressive isotonic fluid resuscitation

Answer

Insulin bolus 0.1 U/kg

Answer

Immediate bicarbonate

Answer

D50 infusion

Answer

Start NPH insulin every 4 h

us-abem MCQ (SBA): HHS