Question

A 28-year-old presents with DKA: glucose 520 mg/dL, pH 7.12, bicarbonate 10 mEq/L, K⁺ 3.0 mEq/L, anion gap 28. After fluids, what is the next step?

Accepted Answer

Give IV potassium replacement to ≥3.3 mEq/L before insulin

Answer

Start IV regular insulin at 0.1 units/kg/h now

Answer

Give IV bicarbonate bolus

Answer

Start subcutaneous insulin glargine immediately

Answer

Administer insulin bolus 0.3 units/kg then infusion

Practice question

A 28-year-old presents with DKA: glucose 520 mg/dL, pH 7.12, bicarbonate 10 mEq/L, K⁺ 3.0 mEq/L, anion gap 28. After fluids, what is the next step?