QuestionSBA
QuestionChoice
This is correct.  Patients with DKA will require IV fluid replacement due to dehydration, Insulin to lower hyperglycaemia, and potassium to prevent hypokalaemia associated with insulin therapy.
10002611
a
Diabetic Ketoacidosis - Fluids, Insulin, Potassium
QuestionChoice
This is incorrect. Hypoglycaemia is defined as blood glucose <4.0 mmol/L. Treating this patient with FLuids, Insulin and Potassium is correct though.
10002615
e
Hypoglycaemia - Fluids, Insulin, Potassium
QuestionChoice
This is incorrect. Hypergylcaemic Hyperosmolar State is when the patient's blood glucose is >30mmol/L. The treatment options are correct.
10002613
c
Hyperglycaemic Hyperosmolic State - Fluids, Insulin, Potassium
QuestionChoice
Whilst the diagnosis and Insulin therapy are correct, large amounts of insulin should always be given with potassium to prevent hypokalaemia. Fluids should also be given as DKA patients are generally dehydrated.
10002612
b
Diabetic Ketoacidosis - Insulin
QuestionChoice
This is incorrect. Hypoglycaemia is defined as blood glucose <4.0 mmol/L. Treating this patient with an oral glucose load and a complex carbohydrate meal will only exacerbate their current condition.
10002614
d
Hypoglycaemia - oral glucose load and complex carbohydrate meal
Concept
Chapter
2693
4058
Diabetes Mellitus
Topic
167
Endocrine physiology
13069
A 46-year-old female with a history of Type 2 Diabetes Mellitus, that is normally controlled with Metformin, presents to her GP with polyuria, polydipsia and headache. Her blood glucose is 17.9 mmol/L (normal <6.1 mmol/L) and on urinalysis there are ++ for ketones.


What is the diagnosis and what steps should be taken to manage this patient?
a