A 25 year old man with type 1 diabetes presents with abdominal pain, vomiting and polyuria. He is tachypnoeic with Kussmaul respirations. Venous blood...

Question

A 25 year old man with type 1 diabetes presents with abdominal pain, vomiting and polyuria. He is tachypnoeic with Kussmaul respirations. Venous blood gas shows pH 7.12, bicarbonate 10 mmol/L and ketones 6 mmol/L. What is the most appropriate initial intravenous fluid for resuscitation?

Accepted Answer

0.9% sodium chloride

Answer

5% dextrose

Answer

0.45% sodium chloride

Answer

Hartmanns solution only after insulin started

Answer

Colloid solution (eg, albumin)

au-acem MCQ (SBA): DKA management initial fluid choice

A 25 year old man with type 1 diabetes presents with abdominal pain, vomiting and polyuria. He is tachypnoeic with Kussmaul respirations. Venous blood gas shows pH 7.12, bicarbonate 10 mmol/L and ketones 6 mmol/L. What is the most appropriate initial intravenous fluid for resuscitation?