A 32-year-old woman with type 1 diabetes presents with abdominal pain, nausea and increasing drowsiness. Capillary glucose is 26 mmol/L, venous pH is ...

Question

A 32-year-old woman with type 1 diabetes presents with abdominal pain, nausea and increasing drowsiness. Capillary glucose is 26 mmol/L, venous pH is 7.12, bicarbonate 10 mmol/L and serum ketones are markedly elevated. Which is the most appropriate initial fluid resuscitation in adult diabetic ketoacidosis?

Accepted Answer

0.9% sodium chloride bolus 10 mL/kg then reassess

Answer

5% dextrose at 125 mL/h

Answer

0.45% sodium chloride at maintenance rate

Answer

Colloid bolus 20 mL/kg

Answer

Oral rehydration solution as tolerated

au-amc MCQ (SBA): Diabetic ketoacidosis