A 55-year-old with DKA now has glucose 210 mg/dL while anion gap remains 20. Next insulin/fluid adjustment?...

Question

A 55-year-old with DKA now has glucose 210 mg/dL while anion gap remains 20. Next insulin/fluid adjustment?

Accepted Answer

Add dextrose to fluids and continue insulin infusion until ketoacidosis resolves

Answer

Stop insulin when glucose

Answer

Switch to SC insulin immediately

Answer

Hold fluids

Answer

Give bicarbonate infusion routinely

us-abfm MCQ (SBA): DKA Resolution Strategy