Practice question

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A 24-year-old with type 1 diabetes presents with DKA: glucose 522 mg/dL, pH 7.12, HCO₃⁻ 9 mEq/L, anion gap 24. Serum K⁺ is 2.9 mEq/L. After 1 L isotonic crystalloid, what is the next best step?

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