The ruthless, direct doctor

You don’t like messing around. From the school of thought that brought you “There is a fracture. I need to fix it”, you see there is a lack of insulin, so you correct it.

There is a look of some concern on your face as his observations morph into the following over the next 15 minutes:

Pulse 127, BP 85/60 mmHg, Temp 37.2, RR 25, Sats 100% oa

What is the next line of management?

Normal saline 0.9% @ 1 Litre / 2 hour

Normal saline 0.9% @ 1 Litre / 1 hour

Normal saline 0.9% @ 500ml stat and review