Question

A 45-year-old man with insulin-treated type 1 diabetes presents with abdominal pain, vomiting and polyuria. Capillary glucose is 26 mmol/L, pH 7.13, ketones 5.5 mmol/L, bicarbonate 10 mmol/L. According to national guidance, what is the most appropriate initial intravenous fluid for resuscitation?

Accepted Answer

0.9% sodium chloride

Answer

5% dextrose

Answer

Hartmann’s solution

Answer

0.45% sodium chloride

Answer

0.9% sodium chloride with 10% dextrose

Practice question

A 45-year-old man with insulin-treated type 1 diabetes presents with abdominal pain, vomiting and polyuria. Capillary glucose is 26 mmol/L, pH 7.13, ketones 5.5 mmol/L, bicarbonate 10 mmol/L. According to national guidance, what is the most appropriate initial intravenous fluid for resuscitation?