A 22-year-old male with Type 1 diabetes is found semi-conscious at home by his flatmate. He has a GCS of 10, his skin is warm and dry, and his breathi...

Question

A 22-year-old male with Type 1 diabetes is found semi-conscious at home by his flatmate. He has a GCS of 10, his skin is warm and dry, and his breathing has a deep, sighing pattern with a fruity odour. Blood glucose is 28 mmol/L. In addition to IV fluid resuscitation with 0.9% normal saline, which of the following should be initiated pre-hospital?

Accepted Answer

No specific additional treatment - insulin is only commenced in hospital

Answer

IM glucagon 1 mg

Answer

IV 10% dextrose 250 mL

Answer

IV sodium bicarbonate 50 mL of 8.4%

Answer

IV insulin infusion at 0.1 units/kg/hour

uk-dipimc MCQ (SBA): Diabetic Ketoacidosis