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Medical Emergencies

Place the actions in order for an adult with diabetic ketoacidosis and an initial potassium level of 3.0 mmol/L.

Ordered Response

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Monitor glucose every 1 to 2 hours and potassium, ketones, pH, fluid balance, and treatment complications at protocol intervals
Assess airway, breathing, circulation, mental status, volume status, glucose, ketones, acid-base findings, kidney function, and electrolytes
When potassium rises above 3.5 mmol/L, begin prescribed IV regular insulin and adjust fluids and dextrose according to glucose and ketone response
Begin prescribed isotonic or balanced crystalloid resuscitation and evaluate hemodynamic and pulmonary response
Begin prescribed potassium replacement and cardiac monitoring while continuing fluid resuscitation
Explanation
Confirm DKA severity, hypovolemia, and electrolyte risk first. Begin crystalloid resuscitation, then replace potassium because the initial level is below 3.5 mmol/L. Delay insulin until potassium is above 3.5 mmol/L to reduce the risk of life-threatening arrhythmia and respiratory muscle weakness. Once safe, start insulin and continue frequent glucose, potassium, ketone, acid-base, and fluid-balance monitoring.
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For study reference only. Always follow current clinical guidelines and your institution’s protocols.