Question

A 27-year-old with DKA: glucose 512 mg/dL, pH 7.12, K+ 2.9 mEq/L. Next best step before insulin infusion?

Accepted Answer

Replace potassium until >=3.3 mEq/L, then start insulin

Answer

Start insulin infusion 0.1 U/kg/h immediately

Answer

Give sodium bicarbonate infusion until pH >7.2

Answer

Start dextrose-containing fluids now

Answer

Administer subcutaneous rapid-acting insulin instead of IV

Practice question

A 27-year-old with DKA: glucose 512 mg/dL, pH 7.12, K+ 2.9 mEq/L. Next best step before insulin infusion?