A 35-year-old man with no past medical history presents with polyuria, polydipsia, and random plasma glucose of 22 mmol/L. He is clinically dehydrated...

Question

A 35-year-old man with no past medical history presents with polyuria, polydipsia, and random plasma glucose of 22 mmol/L. He is clinically dehydrated but haemodynamically stable. Serum ketones are positive, bicarbonate is 10 mmol/L, and pH is 7.20. What is the most appropriate initial fluid therapy for diabetic ketoacidosis?

Accepted Answer

Isotonic saline (0.9% NaCl) bolus followed by continuous infusion

Answer

Bolus of 5% dextrose

Answer

Hypertonic saline

Answer

No fluids; start insulin only

Answer

Colloid solution

ca-mccqe1 MCQ (SBA): Diabetic ketoacidosis