The ruthless and potassium loving endocrinologist

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.

Score: 8/10 – nearly perfect, except the ABG caused unnecessary pain and potassium should not have been in the first bag

Diabetes UK DKA One Page Summary