Regular insulin 20 units subcutaneously
Insert indwelling urinary catheter
Potassium chloride 20 mEq/L intravenous PRN potassium less than 5.0 mEq/L.
Dextrose 5% in water (DSW) intravenous at 5 ml/kg/hr for 4 hr
0.9% sodium chloride at 15 ml/kg/hr for 1 hr and then reduce to 10 ml/kg/hr
Blood glucose checks every 4 hr
Initiate cardiac monitoring
Regular insulin continuous intravenous infusion, titrate per diabetic ketoacidosis (DKA) protocol once potassium is greater than 3.3 mEq/L