A 28-year-old with DKA: glucose 520 mg/dL, K⁺ 3.1 mEq/L, pH 7.12, anion gap 22. After fluids, what is the correct insulin/potassium sequence?...

Question

A 28-year-old with DKA: glucose 520 mg/dL, K⁺ 3.1 mEq/L, pH 7.12, anion gap 22. After fluids, what is the correct insulin/potassium sequence?

Accepted Answer

Hold insulin until K⁺ ≥3.3 mEq/L and replete potassium

Answer

Start insulin infusion immediately at 0.14 U/kg/h

Answer

Give sodium bicarbonate first

Answer

Give insulin bolus 0.1 U/kg then infusion

Answer

Start insulin and potassium simultaneously regardless of K⁺

us-abem MCQ (SBA): Diabetic Ketoacidosis