A 28-year-old female presents to the emergency department with polyuria, polydipsia, and altered mental status. Laboratory results reveal glucose 550 mg/dL, pH 7.18, bicarbonate 10 mEq/L, and an anion gap of 22. Urinalysis shows moderate ketones. Her blood pressure is 90/60 mmHg. What is the most appropriate initial fluid resuscitation strategy?
✓ Correct Answer: Option A
Initial management of DKA, especially in hypotensive patients, involves aggressive volume repletion with 0.9% Normal Saline (isotonic crystalloids) to restore intravascular volume and improve renal perfusion.