Regular insulin continuous intravenous infusion, titrate per diabetic ketoacidosis (DKA) protocol once potassium is greater than 3.3 mEq/L

Regular insulin 20 units subcutaneously

Blood glucose checks every 4 hr

Initiate cardiac monitoring

0.9% sodium chloride at 15 ml/kg/hr for 1 hr and then reduce to 10 ml/kg/hr

Insert indwelling urinary catheter

Potassium chloride 20 mEq/L intravenous PRN potassium less than 5.0 mEq/L

Dextrose 5% in water (D5W) intravenous at 5 ml/kg/hr for 4 hr