Question

A 24-year-old man with type 1 diabetes presents with abdominal pain, vomiting and rapid deep breathing. Capillary glucose is 26 mmol/L, venous pH 7.18 and serum ketones are elevated. What is the most appropriate initial fluid management in the emergency department?

Accepted Answer

0.9% sodium chloride bolus 15-20 mL/kg followed by infusion

Answer

5% dextrose at 150 mL/hour

Answer

0.45% sodium chloride bolus 20 mL/kg

Answer

Colloid solution 500 mL bolus

Answer

No intravenous fluids until insulin has been given

Practice question

A 24-year-old man with type 1 diabetes presents with abdominal pain, vomiting and rapid deep breathing. Capillary glucose is 26 mmol/L, venous pH 7.18 and serum ketones are elevated. What is the most appropriate initial fluid management in the emergency department?