Question

A 79-year-year-old man with HHS (glucose 40 mmol/L, osmolality 330 mOsm/kg) is drowsy. Which immediate management principle is correct?

Accepted Answer

Gradual fluid resuscitation aiming to reduce osmolality slowly

Answer

Rapid insulin bolus to normalise glucose within 2 hours

Answer

Aggressive potassium replacement before fluids

Answer

Early bicarbonate infusion

Answer

Immediate NG feeding

Practice question

A 79-year-year-old man with HHS (glucose 40 mmol/L, osmolality 330 mOsm/kg) is drowsy. Which immediate management principle is correct?