Question

A 35-year-old man with suspected DKA has glucose 480 mg/dL, bicarbonate 12 mEq/L, pH 7.22, positive ketones. Initial fluid choice?

Accepted Answer

0.9% saline 1-1.5 L in first hour

Answer

0.45% saline 1 L bolus

Answer

D5W 1 L bolus

Answer

Colloid 5% albumin

Answer

No fluids until insulin started

Practice question

A 35-year-old man with suspected DKA has glucose 480 mg/dL, bicarbonate 12 mEq/L, pH 7.22, positive ketones. Initial fluid choice?