Question

An adult with DKA (glucose 520 mg/dL, pH 7.12, bicarbonate 10 mEq/L) arrives hypotensive. Initial fluid management?

Accepted Answer

Give isotonic crystalloid 15-20 mL/kg in the first hour

Answer

Begin half-normal saline 10 mL/kg over 2 h

Answer

Start D5W then insulin

Answer

Restrict fluids until glucose <300 mg/dL

Answer

Start insulin bolus before fluids

Practice question

An adult with DKA (glucose 520 mg/dL, pH 7.12, bicarbonate 10 mEq/L) arrives hypotensive. Initial fluid management?