Question

A patient with DKA has K⁺ 2.9 mEq/L at presentation. What is the best next step before starting insulin?

Accepted Answer

Replete potassium to >3.3 mEq/L before starting insulin

Answer

Start insulin now to lower glucose

Answer

Give bicarbonate infusion then insulin

Answer

Start insulin at 0.05 units/kg/hour to avoid hypokalemia

Answer

No insulin or potassium; observe

Practice question

A patient with DKA has K⁺ 2.9 mEq/L at presentation. What is the best next step before starting insulin?