Question

An adult with DKA has serum K⁺ 2.9 mEq/L, glucose 520 mg/dL, pH 7.12, and normal creatinine. What is the immediate next step?

Accepted Answer

Withhold insulin and give IV potassium before insulin

Answer

Start insulin infusion at 0.1 U/kg/h

Answer

Give sodium bicarbonate

Answer

Start dextrose infusion immediately

Answer

No IV fluids yet

Practice question

An adult with DKA has serum K⁺ 2.9 mEq/L, glucose 520 mg/dL, pH 7.12, and normal creatinine. What is the immediate next step?