An 80-year-old with confusion and glucose 38 mmol/L, osmolality 340 mOsm/kg, ketones 0.5 mmol/L is diagnosed with HHS. Which statement is correct?...

Question

An 80-year-old with confusion and glucose 38 mmol/L, osmolality 340 mOsm/kg, ketones 0.5 mmol/L is diagnosed with HHS. Which statement is correct?

Accepted Answer

Start low-dose insulin infusion after initial fluids

Answer

Give insulin bolus 0.1 units/kg immediately

Answer

Rapid fluid correction aiming sodium to normal in 6 hours

Answer

Treat as DKA with potassium first

Answer

Restrict fluids to avoid cerebral oedema

mrcp part 1 MCQ (SBA): HHS