A 28-year-old with type 1 diabetes presents with DKA (pH 7.12, K⁺ 3.1 mEq/L). Which immediate step is correct?...

Question

A 28-year-old with type 1 diabetes presents with DKA (pH 7.12, K⁺ 3.1 mEq/L). Which immediate step is correct?

Accepted Answer

Delay insulin; give IV potassium first to raise K⁺ >3.3 mEq/L

Answer

Start insulin infusion at 0.1 units/kg/h now

Answer

Give IV bicarbonate for pH 7.12

Answer

Start insulin bolus 10 units IV then infusion

Answer

Start dextrose 10% infusion immediately

us-abem MCQ (SBA): DKA