]> 2026-07-31T10:07:32+00:00 WBR0828 0 en Administer nasal oxygen '''Incorrect'''-Saturation is normal in this patient and nasal oxygen need not be the next best step in the line of management. Do a fingerstick glucose test '''Correct'''-Patients suspected with diabetic ketoacidosis need to be confirmed with a rapid fingerstick glucose test, which will take only few minutes before proceeding with other blood tests and medical therapy. Obtain arterial blood gas '''Incorrect'''-Arterial blood gas test will follow the rapid fingerstick glucose test. Immediately administer 0.9% normal saline '''Incorrect'''-After confirming the suspected DKA with fingerstick glucose test and before the arrival of arterial blood gas and other serum biochemistry, empirical treatment with isotonic 0.9% normal saline is recommended. Immediately administer a bolus of 15 grams of 50% dextrose '''Incorrect'''-In this patient, only isotonic 0.9% normal saline is recommended as an empirical treatment to replenish the lost fluids after a rapid fingerstick glucose test and not a bolus of 15 grams of 50% dextrose. Emergency Room Vendhan Ramanujam A 28 year old African-American male presented to the emergency department with complaints of lethargy and vomiting for the past one day. He is a known type 1 diabetes mellitus patient. He had a gastrointestinal disturbance before two days following which he restricted his food intake and skipped his insulin doses. He also revealed playing soccer with his friends last evening. Physical examination revealed a confused, dehydrated, tachypneic male with vital signs like heart rate of 120 beats/min, blood pressure of 98/58 mmHg, respiratory rate of 35/minute and oral temperature of 37.2 C. Pulseoximetry read as 94%. Which is the next best step in the management of this patient? B Endocrine Electrolytes 2020-10-28T01:48:52Z 2459150.5756019 WBR0828