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 ...

Question

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?

Accepted Answer

20 mL/kg 0.9% sodium chloride bolus over 1 hour

Answer

10 mL/kg 5% dextrose bolus over 30 minutes

Answer

10 mL/kg 0.9% sodium chloride bolus over 1 hour

Answer

Start insulin infusion at 0.1 units/kg/hour before fluids

Answer

Restrict fluids to prevent cerebral oedema

au-amc MCQ (SBA): Diabetic ketoacidosis