A 46-year-old with suspected DKA has potassium 3.2 mmol/L. What is correct regarding insulin initiation?...

Question

A 46-year-old with suspected DKA has potassium 3.2 mmol/L. What is correct regarding insulin initiation?

Accepted Answer

Delay insulin until potassium ≥3.5 mmol/L and replace K+

Answer

Start insulin immediately

Answer

Give insulin bolus 10 units then check K+ later

Answer

No potassium replacement needed

Answer

Start insulin only if glucose >30 mmol/L

mrcp part 1 MCQ (SBA): DKA potassium management