A 24-year-old with new-onset DKA presents with K⁺ 3.0 mEq/L, pH 7.10, glucose 520 mg/dL. What is the correct initial insulin plan?...

Question

A 24-year-old with new-onset DKA presents with K⁺ 3.0 mEq/L, pH 7.10, glucose 520 mg/dL. What is the correct initial insulin plan?

Accepted Answer

Hold insulin until K⁺ ≥3.3 mEq/L while initiating fluids and potassium

Answer

Start insulin infusion 0.1 U/kg/h immediately

Answer

Give subcutaneous insulin only after anion gap closes

Answer

Administer insulin bolus 0.3 U/kg then infusion

Answer

Avoid insulin; use bicarbonate infusion only

us-abem MCQ (SBA): DKA