Question

A 59-year-old with long-standing diabetes is admitted with HHS (glucose 980 mg/dL, osmolality 330 mOsm/kg, pH 7.36, no ketones). First fluid of choice?

Accepted Answer

0.9% saline (isotonic crystalloid)

Answer

Half-normal saline immediately

Answer

5% dextrose in water

Answer

Colloid (albumin)

Answer

Bicarbonate infusion

Practice question

A 59-year-old with long-standing diabetes is admitted with HHS (glucose 980 mg/dL, osmolality 330 mOsm/kg, pH 7.36, no ketones). First fluid of choice?