Report a mistake
Found a wrong answer, an unclear option or an outdated reference? Tell us and a reviewer checks the question against its source.
The question
On the second post-operative day after a laparoscopic cholecystectomy, a woman with type 2 diabetes complains of nausea, abdominal pain and rapid breathing. She has been taking only sips of fluid since the operation and has vomited twice; she is not jaundiced and the wound is clean. Her regular medicines are metformin and empagliflozin, which were both given on the morning of surgery. Capillary glucose is 168 mg/dL. ABG: pH 7.16, PaCO2 22 mmHg, HCO3 9 mmol/L, anion gap 24 mmol/L (normal 8-12); serum beta-hydroxybutyrate is markedly raised. Lactate is 1.4 mmol/L. Which is the most appropriate treatment?
Sign in to send a report, so we can follow up if we need to ask you something.