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Diabetic ketoacidosis recognition — GPhC CRA MCQ

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EasyEndocrine TherapeuticsDiabetic ketoacidosis recognitionGPhC CRA

A 27-year-old woman with type 1 diabetes presents feeling unwell with nausea, abdominal pain, and rapid breathing. She mentions her blood glucose is 22 mmol/L and she has been vomiting for two days. She has not been taking her insulin. What is the most appropriate action?

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Correct answer: C — Emergency referral for suspected DKA

This patient has classic features of diabetic ketoacidosis (DKA): hyperglycaemia, nausea and vomiting, abdominal pain, and Kussmaul breathing (rapid deep breathing). DKA is a life-threatening emergency requiring immediate hospital treatment with intravenous fluids, insulin, and potassium replacement. The patient should be sent to hospital urgently. Community management is not appropriate in this situation.

Reference: https://www.pharmacyregulation.org/students-and-trainees/pharmacist-education-and-training/registration-assessment