Question

A 21-year-old man with type 1 diabetes presents with abdominal pain, vomiting and drowsiness. Capillary glucose is 28 mmol/L, urinary ketones are strongly positive and venous blood gas shows pH 7.12. What is the most appropriate initial intravenous fluid according to UK protocols?

Accepted Answer

0.9% Sodium chloride

Answer

5% Dextrose

Answer

Hartmann’s solution only

Answer

0.45% Sodium chloride

Answer

10% Dextrose with Potassium chloride

Practice question

A 21-year-old man with type 1 diabetes presents with abdominal pain, vomiting and drowsiness. Capillary glucose is 28 mmol/L, urinary ketones are strongly positive and venous blood gas shows pH 7.12. What is the most appropriate initial intravenous fluid according to UK protocols?