Question

A 45‑year‑old with DKA (pH 7.12) is improving. Should bicarbonate be given?

Accepted Answer

No, bicarbonate is not routinely indicated unless pH <6.9

Answer

Yes, always give bicarbonate when pH <7.2

Answer

Yes, if pH <7.3 and K⁺ <3.3

Answer

Give bicarbonate to expedite closure of the anion gap

Answer

Give bicarbonate if glucose <200 mg/dL

Practice question

A 45‑year‑old with DKA (pH 7.12) is improving. Should bicarbonate be given?