Question

A 22-year-old woman with type 1 diabetes presents with abdominal pain, nausea and polyuria. Capillary blood glucose is 26 mmol/L, blood ketones 5.8 mmol/L and venous blood gas shows pH 7.18 and bicarbonate 12 mmol/L. What is the most appropriate initial fluid resuscitation regimen?

Accepted Answer

0.9% sodium chloride 1 litre over 1 hour

Answer

5% dextrose 1 litre over 30 minutes

Answer

0.45% sodium chloride 1 litre over 1 hour

Answer

Colloid solution 500 mL over 15 minutes

Answer

Do not give fluids until insulin infusion has started

Practice question

A 22-year-old woman with type 1 diabetes presents with abdominal pain, nausea and polyuria. Capillary blood glucose is 26 mmol/L, blood ketones 5.8 mmol/L and venous blood gas shows pH 7.18 and bicarbonate 12 mmol/L. What is the most appropriate initial fluid resuscitation regimen?