مريض في الحماض الكيتوني على تسريب إنسولين، ونزل السكر إلى ٢٤٠ لكن الحماض ما زال موجوداً. ما الإجراء المتوقع؟

A client in DKA on an insulin infusion now has glucose 240 mg/dL, but acidosis persists. What is expected?

1. Stop insulin because glucose is now near normal
2. Increase insulin to drop glucose below 100 quickly
3. Switch to subcutaneous insulin right now
4. Add dextrose to the fluids and continue insulin

Answer: D) Add dextrose to the fluids and continue insulin. Insulin treats ketoacidosis, not only glucose. As glucose falls, dextrose is added to prevent hypoglycaemia, and insulin continues until the anion gap closes.