Question

A 25-year-old with DKA presents with pH 7.12, anion gap 24, glucose 488 mg/dL, K⁺ 4.7 mEq/L. After giving 1-1.5 L isotonic crystalloid, what is the appropriate insulin strategy?

Accepted Answer

Start IV insulin infusion at 0.1 units/kg/h without bolus

Answer

Start insulin after glucose <250 mg/dL

Answer

Give insulin bolus 0.3 units/kg then infusion 0.2 units/kg/h

Answer

Delay insulin until anion gap is normal

Answer

Subcutaneous rapid-acting insulin every 2 hours only

Practice question

A 25-year-old with DKA presents with pH 7.12, anion gap 24, glucose 488 mg/dL, K⁺ 4.7 mEq/L. After giving 1-1.5 L isotonic crystalloid, what is the appropriate insulin strategy?