What is the initial treatment recommendation for DKA?

The initial treatment recommendation for diabetic ketoacidosis (DKA) emphasizes the need for rapid and effective management to stabilize the patient. One of the critical components in treating DKA is the administration of intravenous (IV) fluids and insulin.

Using a high IV flow rate facilitates the rehydration process necessary to counteract the dehydration often seen in DKA due to osmotic diuresis from hyperglycemia. Along with rehydration, insulin is crucial for reducing glucose levels and reversing ketosis. The combination of insulin administration and fluid replacement helps restore normal metabolic functions more quickly, addressing both the hyperglycemic and acidotic states present in DKA.

In this scenario, the option that includes a high IV flow rate along with a prescribed insulin mixture aligns with the established clinical guidelines for the treatment of DKA. Ensuring that fluid and insulin therapy is initiated promptly can significantly reduce complications and improve patient outcomes.