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What is the most important first ED management step?
The patient becomes drowsy and you are worried about the possibility that the patient is developing cerebral oedema. What would be the next best step in the management?
It has been 2 hours since the patient started treatment, but she has not shown any clinical improvement.
Her repeat venous blood gas is as shown:
Blood ketones = 6mmol/L
What should be the next step?