MRCP2-1475

MRCP2-1475

A 23-year-old woman with a history of type 1 diabetes presents to the Emergency department. She has been experiencing a viral upper respiratory tract infection that has worsened over the past three days, and her latest BM estimation shows her glucose has risen to 33 mmol/L. On examination, she has a fever of 37.9°C, a BP of 100/60 mmHg, and a pulse of 95. She has signs of pharyngitis and a cough, and her respiratory rate is elevated at 30.

Investigations reveal a haemoglobin level of 119 g/L, a white cell count of 10.2 ×109/L, platelets of 220 ×109/L, sodium of 139 mmol/L, potassium of 4.5 mmol/L, creatinine of 132 µmol/L, bicarbonate of 14 mmol/L, pH of 7.15, and glucose of 38.1 mmol/L.

What is the appropriate management for her diabetic ketoacidosis (DKA)?