Q. A 17-year-old male patient presents to the clinic with complaints of increased thirst, urination, and unexplained weight loss over the past two weeks. He has a history of type 1 diabetes and was diagnosed three years ago. His blood glucose levels were well-controlled with insulin and a strict diet. However, he has been non-compliant with his medications and dietary restrictions for the past few months. On physical examination, his blood pressure is 120/80 mmHg, his pulse is 90 beats per minute, and his respiratory rate is 18 breaths per minute. His BMI is 21.3 kg/m2. He has dry mucous membranes and stroke-like breathing. Laboratory results reveal a blood glucose level of 480 mg/dL, ketones in the urine, and a serum pH of 7.30. The patient is diagnosed with diabetic ketoacidosis. Which of the following is the next best step in the management of this patient?

Log In or Start Your Free Trial
to view the answer.