Question

A 23-year-old woman with type 1 diabetes presents with polyuria, polydipsia, nausea and abdominal pain. Capillary glucose is 26 mmol/L, venous pH 7.12 and ketones 5.5 mmol/L, consistent with diabetic ketoacidosis (DKA). What is the most appropriate initial fluid therapy?

Accepted Answer

0.9% sodium chloride bolus followed by controlled infusion

Answer

Rapid infusion of 5% dextrose

Answer

Hypotonic saline (0.45%)

Answer

Colloid solution such as albumin

Answer

No fluids until insulin has been given

Practice question

A 23-year-old woman with type 1 diabetes presents with polyuria, polydipsia, nausea and abdominal pain. Capillary glucose is 26 mmol/L, venous pH 7.12 and ketones 5.5 mmol/L, consistent with diabetic ketoacidosis (DKA). What is the most appropriate initial fluid therapy?