Paediatricsniche
A 9-year-old girl with newly diagnosed type 1 diabetes has been on the paediatric ward for eight hours receiving intravenous fluid and an insulin infusion for ketoacidosis; her admission venous pH was 7.08. She had been improving and chatting to her parents. Over the last thirty minutes she has vomited twice, says she has a bad headache and has become difficult to rouse. Her pulse has fallen from 130 to 68/min and her blood pressure has risen. Capillary glucose is 9.4 mmol/L. Which one of the following should be given immediately?