Question

A 24-year-old with type 1 diabetes presents with Kussmaul breathing, capillary ketones 5.4 mmol/L, glucose 22 mmol/L, pH 7.20. Initial fluid management?

Accepted Answer

0.9% sodium chloride 1 L over 1 hour

Answer

0.45% sodium chloride 1 L over 1 hour

Answer

5% dextrose 1 L over 1 hour

Answer

Colloid bolus 500 mL

Answer

No fluids before insulin

Practice question

A 24-year-old with type 1 diabetes presents with Kussmaul breathing, capillary ketones 5.4 mmol/L, glucose 22 mmol/L, pH 7.20. Initial fluid management?