Question

A 24-year-old man presents with vomiting and abdominal pain. He has type 1 diabetes. Capillary glucose is 28 mmol/L, capillary ketones 4.5 mmol/L, venous pH 7.18. What is the most appropriate immediate 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 500 mL bolus

Answer

10% dextrose 500 mL over 1 hour

Practice question

A 24-year-old man presents with vomiting and abdominal pain. He has type 1 diabetes. Capillary glucose is 28 mmol/L, capillary ketones 4.5 mmol/L, venous pH 7.18. What is the most appropriate immediate fluid management?