MSRA-0400

MSRA-0400

A 25-year-old woman with a history of type 1 diabetes mellitus presents at the emergency department complaining of vomiting and abdominal pain. Upon examination, she appears dehydrated. The following are some of her blood test results:
pH 7.23 (7.35-7.45)
pCO2 2.1 kPa (4.5-6.0)
pO2 11.2 kPa (10-14)
Na+ 135 mmol/L (135-145)
K+ 3.1 mmol/L (3.5-5.0)
Bicarbonate 13 mmol/L (22-28)
Glucose 22.4 mmol/L (<11.1)
Ketones 3.6 mmol/L (<0.6) Question: What should be done with her regular insulin during her treatment?