A 45 year old woman with type 1 diabetes presents with abdominal pain, vomiting and drowsiness. Her capillary glucose is 28 mmol/L, ketones are 5.5 mm...

Question

A 45 year old woman with type 1 diabetes presents with abdominal pain, vomiting and drowsiness. Her capillary glucose is 28 mmol/L, ketones are 5.5 mmol/L and venous blood gas shows pH 7.08. According to standard UK protocols, what is the most appropriate initial fluid for resuscitation?

Accepted Answer

0.9 percent sodium chloride bolus

Answer

5 percent dextrose bolus

Answer

Hartmann’s solution with added potassium

Answer

Colloid solution

Answer

Half normal saline

uk-plab-1 MCQ (SBA): Diabetic ketoacidosis fluid resuscitation

A 45 year old woman with type 1 diabetes presents with abdominal pain, vomiting and drowsiness. Her capillary glucose is 28 mmol/L, ketones are 5.5 mmol/L and venous blood gas shows pH 7.08. According to standard UK protocols, what is the most appropriate initial fluid for resuscitation?