A 58-year-old with DKA has K+ 3.0 mEq/L. Before starting insulin infusion, what should be done?...

Question

A 58-year-old with DKA has K+ 3.0 mEq/L. Before starting insulin infusion, what should be done?

Accepted Answer

Replete potassium first to >3.3 mEq/L

Answer

Start insulin immediately

Answer

Give bicarbonate and ignore K+

Answer

No potassium needed

Answer

Start insulin at half dose

us-abem MCQ (SBA): DKA-Potassium First