You are caring for a 27-year-old male with suspected ketoacidosis. He is unresponsive and his blood glucose level, as measured by glucometer, reads "high." His blood pressure is 80/50 mm Hg, pulse is 130 beats/min and weak, and respirations are 40 breaths/min and shallow. Which of the following represents the MOST appropriate treatment approach?
A. Oxygen via nonrebreathing mask, 10 mL/kg crystalloid boluses to maintain perfusion, and prompt transport
B. Assisted ventilation, 20 mL/kg crystalloid boluses to maintain perfusion, transport, and consider an advanced airway
C. Oxygen via nonrebreathing mask, an IV of normal saline set to keep the vein open, 50 mL of D50, and rapid transport.
D. Assisted ventilation, 0.5 to 1 mg of glucagon IM, 20 mL/kg crystalloid boluses to maintain perfusion, and transport.
Answer: B. Assisted ventilation, 20 mL/kg crystalloid boluses to maintain perfusion, transport, and consider an advanced airway
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