A 27-year-old with DKA has K⁺ 2.9 mEq/L, pH 7.12, anion gap 24. What is the next best step?...

Question

A 27-year-old with DKA has K⁺ 2.9 mEq/L, pH 7.12, anion gap 24. What is the next best step?

Accepted Answer

Correct hypokalemia first, then start insulin

Answer

Start insulin infusion at 0.1 units/kg/h immediately

Answer

Give IV bicarbonate

Answer

Give dextrose 10% infusion now

Answer

Give insulin bolus 0.3 units/kg then infusion

us-abfm MCQ (SBA): DKA