Question

A 27-year-old man with T1DM presents with DKA (glucose 24 mmol/L, ketones 5.5 mmol/L, pH 7.12). What is the correct immediate management priority?

Accepted Answer

Start fixed-rate IV insulin infusion and IV fluids with potassium as needed

Answer

Start IV insulin bolus then infusion

Answer

Start subcutaneous insulin hourly

Answer

Give bicarbonate routinely

Answer

Withhold fluids until CXR

Practice question

A 27-year-old man with T1DM presents with DKA (glucose 24 mmol/L, ketones 5.5 mmol/L, pH 7.12). What is the correct immediate management priority?