A 48-year-old man has polyuria, weight loss and vomiting. Glucose is 31 mmol/L, ketones are 6.2 mmol/L and venous pH is 7.08. Potassium is 5.8

Question

A 48-year-old man has polyuria, weight loss and vomiting. Glucose is 31 mmol/L, ketones are 6.2 mmol/L and venous pH is 7.08. Potassium is 5.8 mmol/L. What is the most important next step?

Accepted Answer

Start DKA protocol with IV fluids, fixed-rate insulin and electrolyte monitoring under senior supervision

Answer

Delay treatment until HbA1c returns

Answer

Subcutaneous rapid-acting insulin and discharge

Answer

Fluid restriction because potassium is high

Answer

Oral metformin and routine review

Adult diabetic ketoacidosis — PARA MCQ

A 48-year-old man has polyuria, weight loss and vomiting. Glucose is 31 mmol/L, ketones are 6.2 mmol/L and venous pH is 7.08. Potassium is 5.8 mmol/L. What is the most important next step?