A 22-year-old man with type 1 diabetes forgets to take his basal insulin and presents with abdominal pain, vomiting and polyuria. His capillary glucos...

Question

A 22-year-old man with type 1 diabetes forgets to take his basal insulin and presents with abdominal pain, vomiting and polyuria. His capillary glucose is 24 mmol/L, pH 7.12, bicarbonate 10 mmol/L and ketones are positive. Which is the highest priority initial management step after airway and breathing are secured?

Accepted Answer

Begin aggressive intravenous fluid resuscitation with isotonic saline

Answer

Administer intravenous insulin bolus immediately

Answer

Give intravenous sodium bicarbonate

Answer

Start dextrose 5% in water

Answer

Administer subcutaneous rapid-acting insulin repeatedly

ca-mccqe1 MCQ (SBA): Diabetic ketoacidosis