Question

A 24-year-old with type 1 diabetes presents with vomiting, abdominal pain, pH 7.15, ketones 5.5 mmol/L, glucose 25 mmol/L. What is the first priority in management?

Accepted Answer

Start fixed-rate IV insulin infusion and aggressive IV fluids

Answer

IV insulin bolus then infusion

Answer

Give IV sodium bicarbonate

Answer

Start insulin pump at double rate

Answer

Immediate IV dextrose

Practice question

A 24-year-old with type 1 diabetes presents with vomiting, abdominal pain, pH 7.15, ketones 5.5 mmol/L, glucose 25 mmol/L. What is the first priority in management?