A 14-year-old girl presents with weight loss, polyuria and polydipsia. Capillary blood glucose is 24 mmol/L and venous blood gas reveals pH 7.18 with ...

Question

A 14-year-old girl presents with weight loss, polyuria and polydipsia. Capillary blood glucose is 24 mmol/L and venous blood gas reveals pH 7.18 with serum ketones elevated. What is the most appropriate initial management priority?

Accepted Answer

Begin aggressive isotonic fluid resuscitation and monitor electrolytes

Answer

Start insulin infusion immediately without fluids

Answer

Correct acidosis with intravenous bicarbonate

Answer

Permissive hyperglycaemia with no acute treatment

Answer

Start long-acting subcutaneous insulin only

ca-mccqe1 MCQ (SBA): Diabetic ketoacidosis

A 14-year-old girl presents with weight loss, polyuria and polydipsia. Capillary blood glucose is 24 mmol/L and venous blood gas reveals pH 7.18 with serum ketones elevated. What is the most appropriate initial management priority?