A 12-year-old with known Type 1 DM presents with glucose of…
A 12-year-old with known Type 1 DM presents with glucose of 490 mg/dL, pH 7.17, bicarbonate of 8 mEq/L, and moderate ketonuria. He is tachycardic with a capillary refill of 3 seconds and no hemodynamic instability. What is the CORRECT initial fluid and insulin management according to current DKA guidelines?
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