Question

A 28-year-old man with DKA has K⁺ 2.9 mEq/L, pH 7.12, glucose 540 mg/dL. What is the most appropriate immediate management step?

Accepted Answer

Hold insulin and give IV potassium (20-30 mEq/h) with fluids until K⁺ >3.3

Answer

Start IV insulin at 0.1 units/kg/h now

Answer

Give IV sodium bicarbonate infusion

Answer

Start dextrose 5% in 0.45% NaCl now

Answer

Start subcutaneous insulin with correction scale

Practice question

A 28-year-old man with DKA has K⁺ 2.9 mEq/L, pH 7.12, glucose 540 mg/dL. What is the most appropriate immediate management step?