Question

A 23-year-old with DKA after missed insulin has K+ 4.2 mEq/L, glucose 520 mg/dL, pH 7.12. After initial fluids, what insulin strategy is recommended?

Accepted Answer

IV regular insulin infusion at 0.1 units/kg/hour

Answer

IV regular insulin bolus only, no infusion

Answer

Subcutaneous rapid-acting insulin every 4 hours

Answer

IV insulin infusion at 0.05 units/kg/hour for all adults

Answer

Start insulin only after starting dextrose infusion

Practice question

A 23-year-old with DKA after missed insulin has K+ 4.2 mEq/L, glucose 520 mg/dL, pH 7.12. After initial fluids, what insulin strategy is recommended?