A 67-year-old with type 2 diabetes hospitalized for pneumonia has DKA resolving. When glucose falls below 200 mg/dL with persistent anion gap, what fl...

Question

A 67-year-old with type 2 diabetes hospitalized for pneumonia has DKA resolving. When glucose falls below 200 mg/dL with persistent anion gap, what fluid adjustment is recommended?

Accepted Answer

Add dextrose to IV fluids (e.g. D5/0.45% NaCl) while continuing insulin

Answer

Continue 0.9% saline only

Answer

Begin bicarbonate infusion

Answer

Stop insulin infusion

Answer

Hypertonic saline

"endocrinology" MCQ (SBA): Diabetic Ketoacidosis

A 67-year-old with type 2 diabetes hospitalized for pneumonia has DKA resolving. When glucose falls below 200 mg/dL with persistent anion gap, what fluid adjustment is recommended?