Question

A 19-year-old man with type 1 diabetes presents with nausea, vomiting and abdominal pain. Glucose is 26 mmol/L, pH 7.15, bicarbonate 12 mmol/L and serum ketones are positive. According to Canadian DKA management guidance, what is the most appropriate initial fluid resuscitation strategy?

Accepted Answer

0.9 percent saline at 500 mL per hour for the first 4 hours

Answer

Rapid infusion of 0.45 percent saline 1 L over 30 minutes

Answer

5 percent dextrose infusion from the outset

Answer

No fluids until insulin infusion is established

Answer

Colloid solution to correct intravascular volume

Practice question

A 19-year-old man with type 1 diabetes presents with nausea, vomiting and abdominal pain. Glucose is 26 mmol/L, pH 7.15, bicarbonate 12 mmol/L and serum ketones are positive. According to Canadian DKA management guidance, what is the most appropriate initial fluid resuscitation strategy?