Question

A 22-year-old woman with type 1 diabetes presents with abdominal pain, nausea and polyuria. Capillary glucose is 26 mmol/L, ketones 4.5 mmol/L and venous bicarbonate 13 mmol/L. What is the most important immediate fluid management?

Accepted Answer

1 L 0.9% sodium chloride over 1 hour

Answer

500 mL 0.9% sodium chloride over 4 hours

Answer

1 L 5% dextrose over 1 hour

Answer

500 mL 0.45% sodium chloride over 1 hour

Answer

No intravenous fluids, start insulin infusion only

Practice question

A 22-year-old woman with type 1 diabetes presents with abdominal pain, nausea and polyuria. Capillary glucose is 26 mmol/L, ketones 4.5 mmol/L and venous bicarbonate 13 mmol/L. What is the most important immediate fluid management?