Q:

A 12 year old boy with T1DM (type1 diabetes mellitus) has poor long-term control. He is unconscious, hyperventilating and dehydrated. His blood glucose is 28mmol/l. What is the single most important initial treatment?

waelhammad
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2022-11-04
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A 12 year old boy with T1DM (type1 diabetes mellitus) has poor long-term control. He is unconscious, hyperventilating and dehydrated. His blood glucose is 28mmol/l. What is the single most important initial treatment?

  1. Albumin IV
  2. Bicarbonate IV
  3. Insulin IV
  4. Insulin SC
  5. Saline 0.9% IV
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waelhammad
2022-11-04
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The key is E. Saline 0.9% IV. [Probable diabetic ketoacidosis. Initial treatment is IV fluid (0.9% saline)].

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