Question

A 28-year-old with DKA has serum potassium 3.0 mEq/L, bicarbonate 10 mEq/L, and glucose 450 mg/dL. What is the best immediate step?

Accepted Answer

Give potassium first and delay insulin until K+ >=3.3 mEq/L

Answer

Start IV insulin infusion 0.1 U/kg/h now

Answer

Give sodium bicarbonate bolus

Answer

No potassium replacement initially

Answer

Start long-acting insulin only

Practice question

A 28-year-old with DKA has serum potassium 3.0 mEq/L, bicarbonate 10 mEq/L, and glucose 450 mg/dL. What is the best immediate step?