A 28-year-old with new DKA: glucose 520 mg/dL, K+ 3.1 mEq/L, venous pH 7.12. What is the correct initial insulin/potassium plan?...

Question

A 28-year-old with new DKA: glucose 520 mg/dL, K+ 3.1 mEq/L, venous pH 7.12. What is the correct initial insulin/potassium plan?

Accepted Answer

Hold insulin; give potassium until K+ ≥3.3 mEq/L, then start insulin

Answer

Start insulin drip 0.1 U/kg/h immediately

Answer

Give insulin bolus 1 U/kg then drip

Answer

Start insulin only when pH >7.2

Answer

No potassium needed if on telemetry

us-abfm MCQ (SBA): Diabetic Ketoacidosis