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HardEndocrinology,EmergencyDiabetic ketoacidosisau-amcau-acemau-racp

A 22-year-old woman with type 1 diabetes is brought to the emergency department with abdominal pain, vomiting and drowsiness. Capillary glucose is 25 mmol/L, capillary ketones 5.5 mmol/L and venous blood gas shows pH 7.12. Which is the most appropriate initial fluid resuscitation step in suspected diabetic ketoacidosis?

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