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ClinicalJudgeRN
DKA NCLEX Question: Fluids or Insulin First?
DKA NCLEX question: why fluids and potassium come before insulin when glucose is 620, pH is 7.18, and the K+ is 3.2. Your patient is vomiting and breathing deep and fast. Glucose: 620 mg/dL. Ketones: positive. pH: 7.18. Potassium: 3.2 — and that number is lying to you. Every instinct says start the insulin drip; in this patient, insulin first ...
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