A 60-year-old with suspected DKA has K⁺ 3.1 mEq/L, glucose 520 mg/dL, pH 7.20. What is the immediate insulin plan?...

Question

A 60-year-old with suspected DKA has K⁺ 3.1 mEq/L, glucose 520 mg/dL, pH 7.20. What is the immediate insulin plan?

Accepted Answer

Delay insulin until K⁺ ≥3.3 mEq/L while giving potassium and fluids

Answer

Start insulin infusion 0.1 U/kg/h now

Answer

Give insulin bolus 0.2 U/kg then stop

Answer

Subcutaneous insulin only

Answer

No insulin needed if pH >7.15

us-abem MCQ (SBA): DKA-Hypokalaemia Management