Question

A 28-year-old with DKA has K+ 3.1 mEq/L, pH 7.22, glucose 520 mg/dL. What is the immediate next step?

Accepted Answer

Administer IV potassium and delay insulin until K+ ≥3.3 mEq/L

Answer

Start IV insulin infusion at 0.1 units/kg/h

Answer

Give sodium bicarbonate bolus

Answer

Start insulin plus dextrose infusion immediately

Answer

Begin subcutaneous rapid-acting insulin every hour

Practice question

A 28-year-old with DKA has K+ 3.1 mEq/L, pH 7.22, glucose 520 mg/dL. What is the immediate next step?