Question

A 23-year-old woman with type 1 diabetes mellitus presents with abdominal pain, nausea, and polyuria. She has Kussmaul respirations. Capillary glucose is 24 mmol/L, venous pH 7.12, serum bicarbonate 10 mmol/L, and serum ketones are elevated. What is the most appropriate initial management step?

Accepted Answer

Begin aggressive intravenous isotonic crystalloid resuscitation

Answer

Start an intravenous insulin infusion immediately without fluids

Answer

Administer intravenous sodium bicarbonate

Answer

Restrict oral intake and observe

Answer

Give a large bolus of intravenous potassium before any other therapy

Practice question

A 23-year-old woman with type 1 diabetes mellitus presents with abdominal pain, nausea, and polyuria. She has Kussmaul respirations. Capillary glucose is 24 mmol/L, venous pH 7.12, serum bicarbonate 10 mmol/L, and serum ketones are elevated. What is the most appropriate initial management step?