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Deep breathing, and a potassium of 3.1

Clinical caseEmergency4 min
Deep breathing, and a potassium of 3.1

A 19-year-old woman with vomiting for 24 hours is drowsy and hyperventilating deeply at rest. Glucose is unrecordably high, pH 7.1, bicarbonate low, ketones strongly positive. Her potassium is 3.1 mmol/L. Fluids are running.

What do you do about the insulin infusion?