A 23-year-old woman with type 1 diabetes presents with Kussmaul respirations, capillary ketones 4.5 mmol/L, venous pH 7.12, glucose 22 mmol/L. After i...

Question

A 23-year-old woman with type 1 diabetes presents with Kussmaul respirations, capillary ketones 4.5 mmol/L, venous pH 7.12, glucose 22 mmol/L. After initial fluid bolus, what insulin strategy is recommended?

Accepted Answer

Fixed-rate IV insulin infusion at 0.1 units/kg/hour

Answer

Variable rate insulin infusion adjusted to glucose

Answer

Immediate subcutaneous rapid-acting insulin 10 units

Answer

Hold insulin until potassium normalises

Answer

Intramuscular insulin bolus only

ukmla MCQ (SBA): Diabetic Ketoacidosis

A 23-year-old woman with type 1 diabetes presents with Kussmaul respirations, capillary ketones 4.5 mmol/L, venous pH 7.12, glucose 22 mmol/L. After initial fluid bolus, what insulin strategy is recommended?