11th November 2021

A 17-year-old male arrives at the emergency department with abdominal pain, vomiting and deep breathing

A 17-year-old male arrives at the emergency department with abdominal pain, vomiting and deep breathing. He was at a friend’s birthday on the weekend and forgot to take his insulin. His blood glucose is 24 mmol/L and blood ketone levels are 5 mmol/L. An arterial blood gas is performed and reveals a metabolic acidosis. What is the initial management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.