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Question 21 (part 2) · LEK · Emergencies and acute complications

A 41-year-old male patient has been brought to A&E due to fainting. He has been suffering from diabetes type I for 25 years and is treated with insulin. The patient blood tests reveal the following: pH - 7.2, HCO3 - 10 mmol/l, sodium concentration - 139 mmol/l, potassium concentration – 4.9 mmol/l, and glucose - 380 mg/dl. Which of these intravenous infusions should be administered first?

  1. A. 0.9% saline solution.
  2. B. insulin, 0.9% saline solution, 0.3% potassium chloride solution
  3. C. insulin, 5% glucose.
  4. D. insulin, 10% glucose.
  5. E. 8.4% sodium bicarbonate solution.
Hint

The question asks what to start first in diabetic ketoacidosis; recall the order of the treatment steps.

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