Continue intravenous insulin therapy

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Reference no: EM133789406

Question

Thirty-six hours after initiation of treatment with insulin for DKA, a 4-year-old girl's serum glucose level is 230 mEq/L. Further laboratory work reveals a bicarbonate level of 16 mEq/L. She is currently receiving 0.1 units/kg/h of regular insulin as well as normal saline. What is the next step in treatment? Thirty-six hours after initiation of treatment with insulin for DKA, a 4-year-old girl's serum glucose level is 230 mEq/L. Further laboratory work reveals a bicarbonate level of 16 mEq/L. She is currently receiving 0.1 units/kg/h of regular insulin as well as normal saline. What is the next step in treatment? Continue intravenous insulin therapy and administer bicarbonate. Stop intravenous insulin therapy and administer bicarbonate. Stop intravenous insulin therapy and allow the patient to begin subcutaneous insulin administration. Continue intravenous insulin therapy and change IVF to D5 0.45% normal saline. Continue current therapy.

Reference no: EM133789406

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