)     Crystal K. is a 13 year old female who arrives in the emergency room with her mother. Mom says she has

not felt well for the last day or two, but today she is very weak and feels sick to her stomach. Serum glucose is 529 mg/dL, serum ketones are present, and the bicarbonate level is 8 mEq/dL. Crystal’s PH is 7.14. crystal was rapidly infused 1L of normal saline solution. The next step in her care is to

a)     Begin sliding scale insulin

b)     Begin electrolyte replacement

c)      Maintain NSS at 1L/hr and insulin gtt at 0.1u/kg/hr

d)     Maintain NSS at 1L/hr and add 40 mEq HCO3-

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