A patient with DKA has an initial serum bicarbonate of 8 mEq/L and pH of 7.10. Under which circumstance is sodium bicarbonate administration recommended by most guidelines?
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A
pH < 7.30 with any symptom
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B
pH < 7.10 or life-threatening hyperkalemia
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C
Bicarbonate < 10 mEq/L regardless of pH
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D
Routine use in all moderate-to-severe DKA