A 64-year-old with DKA improves; glucose is 180 mg/dL while anion gap remains elevated. What adjustment is recommended?...

Question

A 64-year-old with DKA improves; glucose is 180 mg/dL while anion gap remains elevated. What adjustment is recommended?

Accepted Answer

Add dextrose to IV fluids and continue insulin infusion

Answer

Stop insulin infusion now

Answer

Switch to subcutaneous insulin immediately

Answer

Raise glucose goal to >250 mg/dL

Answer

Start bicarbonate routinely

us-abem MCQ (SBA): DKA Transition