28th May 2025

You are reviewing a 40-year-old patient admitted with DKA 10 hours ago, his blood glucose is 20mmol/L, bicarbonate is 15mmol/L and urinary ketones ate 1+.

You are reviewing a 40-year-old patient admitted with DKA 10 hours ago, his blood glucose is 20mmol/L, bicarbonate is 15mmol/L and urinary ketones ate 1+. On assessment, he is on 2 litres of oxygen via nasal cannula, saturations are 96%, blood pressure is 127/92, he is apyrexial and has had 100ml urine output in the past hour. What is the next step in assessment?

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