Question

A 28-year-old with DKA has K⁺ 2.9 mEq/L, pH 7.10, anion gap 28, and glucose 520 mg/dL. What is the immediate next step?

Accepted Answer

Give 40 mEq KCl, replete potassium until >3.3 mEq/L before insulin

Answer

Start insulin infusion at 0.1 U/kg/h

Answer

Give sodium bicarbonate

Answer

Give 20 mEq KCl and start insulin

Answer

Start insulin and normal saline bolus simultaneously

Practice question

A 28-year-old with DKA has K⁺ 2.9 mEq/L, pH 7.10, anion gap 28, and glucose 520 mg/dL. What is the immediate next step?