Question

A 48-year-old with DKA (BG 540 mg/dL, pH 7.18, anion gap 30) has K⁺ 4.6 mEq/L. Initial insulin therapy?

Accepted Answer

IV regular insulin 0.1 units/kg/h infusion (no bolus)

Answer

Subcutaneous insulin glargine 0.2 units/kg only

Answer

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

Answer

No insulin until pH >7.3

Answer

IM insulin only

Practice question

A 48-year-old with DKA (BG 540 mg/dL, pH 7.18, anion gap 30) has K⁺ 4.6 mEq/L. Initial insulin therapy?