You prescribe a fixed rate intravenous insulin infusion of a soluble insulin.
You even set up appropriate monitoring of potassium, ketones and bicarbonate and keep a close eye.
You even make it clear to add 10% glucose 125ml/hr if blood glucose falls below 14 momol/L rather than adjust the fixed rate intravenous insulin infusion.
The only slightly blemish is that you gave potassium in the first bag. But hey, what’s a little extra potassium when the patient’s alive and well? You had probably considered the fact that total body potassium is generally low when DKA presents (with much potassium shifted from the intracellular to the extracellular space). You chose to apply first principles physiology instead of following the Diabetes UK guidelines. I must dock one point because of this one point.
Score: 9/10