A 32-year-old man presents with polyuria, polydipsia, abdominal pain and vomiting. His capillary blood glucose is 28 mmol/L, ketones 4.5 mmol/L and ve...

Question

A 32-year-old man presents with polyuria, polydipsia, abdominal pain and vomiting. His capillary blood glucose is 28 mmol/L, ketones 4.5 mmol/L and venous blood gas shows pH 7.12 with bicarbonate 10 mmol/L. What is the most appropriate initial fluid management in the first hour according to UK DKA protocols?

Accepted Answer

1 L 0.9% sodium chloride over 1 hour

Answer

500 mL 0.9% sodium chloride over 1 hour

Answer

500 mL 5% dextrose over 15 minutes

Answer

1 L 5% dextrose over 1 hour

Answer

250 mL 0.45% sodium chloride over 1 hour

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