Question

A 28-year-old with DKA has K+ 2.9 mEq/L, pH 7.12, and glucose 520 mg/dL. Next step before insulin infusion?

Accepted Answer

Administer IV potassium to raise K+ >=3.3 mEq/L before insulin

Answer

Start insulin infusion 0.1 U/kg/h now

Answer

Give 10 units IV insulin bolus then infusion

Answer

Start bicarbonate infusion

Answer

No potassium replacement unless K+ <2.5 mEq/L

Practice question

A 28-year-old with DKA has K+ 2.9 mEq/L, pH 7.12, and glucose 520 mg/dL. Next step before insulin infusion?