Question

A 49-year-old with suspected DKA: glucose 412 mg/dL, pH 7.20, bicarbonate 14 mEq/L, anion gap 20, serum K⁺ 3.2 mEq/L. What is the immediate insulin decision?

Accepted Answer

Correct potassium first to >3.3 mEq/L before starting insulin

Answer

Start IV insulin infusion now

Answer

Give IV insulin bolus only then wait

Answer

Delay insulin until anion gap closes

Answer

Subcutaneous insulin every 6 hours

Practice question

A 49-year-old with suspected DKA: glucose 412 mg/dL, pH 7.20, bicarbonate 14 mEq/L, anion gap 20, serum K⁺ 3.2 mEq/L. What is the immediate insulin decision?