A 36-year-old with Type 1 diabetes presents with DKA (glucose 420 mg/dL, pH 7.15, bicarbonate 10 mEq/L, β‑hydroxybutyrate elevated). Potassium 5.1 mEq...

Question

A 36-year-old with Type 1 diabetes presents with DKA (glucose 420 mg/dL, pH 7.15, bicarbonate 10 mEq/L, β‑hydroxybutyrate elevated). Potassium 5.1 mEq/L. After fluids, what insulin regimen is recommended?

Accepted Answer

IV regular insulin infusion 0.1 units/kg/hr

Answer

IV regular insulin bolus 0.3 units/kg then infusion 0.05 units/kg/hr

Answer

Subcutaneous lispro 0.1 units/kg every 4 hours

Answer

IV regular insulin infusion 0.2 units/kg/hr

Answer

Delay insulin until potassium

us-abem MCQ (SBA): Diabetic Ketoacidosis

A 36-year-old with Type 1 diabetes presents with DKA (glucose 420 mg/dL, pH 7.15, bicarbonate 10 mEq/L, β‑hydroxybutyrate elevated). Potassium 5.1 mEq/L. After fluids, what insulin regimen is recommended?