Question

A 24-year-old woman presents with polyuria, polydipsia, weight loss and nausea. Capillary blood glucose is 25 mmol/L, venous bicarbonate 12 mmol/L and ketones are strongly positive. According to standard protocols, what is the most appropriate initial fluid management in the first hour?

Accepted Answer

Bolus 0.9% sodium chloride 20 mL/kg (approximately 1-1.5 L) over 1 hour

Answer

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

Answer

Bolus 0.45% sodium chloride 10 mL/kg over 1 hour

Answer

Commence 5% dextrose at 125 mL/hour

Answer

Restrict fluids initially and commence insulin infusion only

Practice question

A 24-year-old woman presents with polyuria, polydipsia, weight loss and nausea. Capillary blood glucose is 25 mmol/L, venous bicarbonate 12 mmol/L and ketones are strongly positive. According to standard protocols, what is the most appropriate initial fluid management in the first hour?