Question

A 25-year-old with DKA has K⁺ 2.9 mEq/L, pH 7.18, bicarbonate 12 mEq/L, glucose 480 mg/dL. After initial isotonic fluids, what is the next step before insulin?

Accepted Answer

Give potassium and hold insulin until K⁺ ≥3.3 mEq/L

Answer

Start insulin infusion at 0.1 U/kg/h now

Answer

Administer bicarbonate routine bolus

Answer

Give dextrose 5% immediately

Answer

Start subcutaneous rapid-acting insulin

Practice question

A 25-year-old with DKA has K⁺ 2.9 mEq/L, pH 7.18, bicarbonate 12 mEq/L, glucose 480 mg/dL. After initial isotonic fluids, what is the next step before insulin?