Question

A 21-year-old man with type 1 diabetes presents with 24 hours of polyuria, vomiting and abdominal pain. He has Kussmaul respirations and his breath smells of ketones. Capillary glucose is 26 mmol/L and blood ketones are 5.5 mmol/L. What is the most appropriate initial fluid management in hospital?

Accepted Answer

0.9% sodium chloride 1 litre over 1 hour

Answer

5% dextrose 1 litre over 1 hour

Answer

0.45% sodium chloride 1 litre over 4 hours

Answer

Colloid solution 500 mL bolus then review

Answer

No fluids until insulin infusion started

Practice question

A 21-year-old man with type 1 diabetes presents with 24 hours of polyuria, vomiting and abdominal pain. He has Kussmaul respirations and his breath smells of ketones. Capillary glucose is 26 mmol/L and blood ketones are 5.5 mmol/L. What is the most appropriate initial fluid management in hospital?