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?...

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+

us-abim MCQ (SBA): Diabetic Ketoacidosis