Question

A 24-year-old with DKA has serum K⁺ 3.1 mEq/L after initial fluids. Next best step before insulin infusion?

Accepted Answer

Hold insulin and give IV potassium until K⁺ >3.3 mEq/L

Answer

Start insulin now and recheck K⁺ later

Answer

Give bicarbonate infusion immediately

Answer

Start insulin plus dextrose simultaneously

Answer

Administer calcium gluconate first

Practice question

A 24-year-old with DKA has serum K⁺ 3.1 mEq/L after initial fluids. Next best step before insulin infusion?