A 25-year-old patient is diagnosed with diabetic ketoacidosis (see lab results). Blood pressure: 80/50 mmHg Heart rate: 140/min Respiratory rate: 26/min Temperature: high Which of the following is the best initial management?
A. Dopamine drip to raise blood pressure above 90 mmHg
B. 1-2 L of normal saline with KCl 20 mEq/L intravenously
C. 20 units of regular insulin intravenously, followed by 5% dextrose in water at 200 mL/h
Right is D. Normal saline 2 L as an intravenous bolus and insulin intravenous infusion at 0.1 U/kg/hr
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