Question

A 55-year-old with type 2 diabetes presents with DKA: glucose 520 mg/dL, K+ 3.0 mEq/L, pH 7.10, anion gap 24. After initial isotonic fluids, what is the next best step?

Accepted Answer

Give IV potassium to raise K+ >3.3 mEq/L before insulin

Answer

Start insulin infusion 0.1 U/kg/h immediately

Answer

Give sodium bicarbonate bolus

Answer

Start insulin after giving dextrose

Answer

Start subcutaneous rapid-acting insulin every hour

Practice question

A 55-year-old with type 2 diabetes presents with DKA: glucose 520 mg/dL, K+ 3.0 mEq/L, pH 7.10, anion gap 24. After initial isotonic fluids, what is the next best step?