Diabetic ketoacidosis Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 25-year-old man with a history of type 1 diabetes mellitus presents to the emergency department for worsening malaise and diffuse abdominal pain. He states that he has been feeling nauseous over the past 24 hours with multiple episodes of vomiting, and he has not been able to keep any food or liquids down over this time period. His health insurance was recently discontinued, and he has been taking lower doses of his insulin and skipping doses to make it last longer. On physical examination, he is sleepy, but able to answer questions. He is noted to be taking deep, rapid breaths. Temperature is 37.6 °C (99.7 °F), blood pressure is 84/52 mmHg, pulse is 128/min, respiratory rate is 24/min, and oxygen saturation is 100% on room air.  His lips are dry and his breath has a fruity odor. What is the next step in the management of this patient?  

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