A 45-year-old woman with DKA is being managed in an emergency department. After initial assessment, what is the most appropriate immediate fluid resus...

Question

A 45-year-old woman with DKA is being managed in an emergency department. After initial assessment, what is the most appropriate immediate fluid resuscitation regime?

Accepted Answer

0.9% sodium chloride 1 L over the first hour, then adjust based on haemodynamics and electrolytes

Answer

5% dextrose at 250 mL/hour regardless of blood pressure

Answer

0.45% sodium chloride 1 L over the first hour

Answer

Colloid solution 1 L over the first hour

Answer

No intravenous fluids until insulin infusion has normalised blood glucose

au-acem MCQ (SBA): Diabetic ketoacidosis initial fluid management

A 45-year-old woman with DKA is being managed in an emergency department. After initial assessment, what is the most appropriate immediate fluid resuscitation regime?