Question

A 23-year-old with T1DM presents with vomiting and Kussmaul breathing. Capillary ketones 4.8 mmol/L, glucose 22 mmol/L, pH 7.21. First management step?

Accepted Answer

0.9% saline 1 L IV over 1 hour

Answer

Insulin bolus 10 units IV

Answer

Immediate sodium bicarbonate

Answer

Start dextrose infusion

Answer

Oral fluids

Practice question

A 23-year-old with T1DM presents with vomiting and Kussmaul breathing. Capillary ketones 4.8 mmol/L, glucose 22 mmol/L, pH 7.21. First management step?