ABG question?

I am working on a critical thinking paper. we are learning about ABG's. I have worked all problems except the last one, and I am having a difficult time thinking critically with this one.

Patients lab work:

Blood glucose 768 mg/dl
Serum potassium 7:2 mEq/L
PH:6.91
PaCO2 32 mm Hg
PaO2 88 mm Hg
HCO3 7 mEq/L

I know that the BG is extremely high.

I have also decided that the PH of 6.91 is dangerously low as well as the HCo3 .

I have concluded that the patient is in metabolic acidosis.

Now I have to figure out what to do. There are four choices.

A. Administer IV fluids and regular IV insulin bolus, followed by a continuous insulin drip: monitor blood glucose and serum potassium levels hourly. (this seems like a lot of insulin to me)

B. Continue to monitor the patient. His assessment findings and lab values are close enough to normal. ( I have ruled this one out)

C. Call a code because her lab values indicate a life-threatening condition. ( When do we call codes? I thought only when there was death)

D. Administer two ampules of sodium bicarbonate IV, kayexalate to decrease serum potassium and subcutaneous insulin per sliding scale. (I am leaning toward this one)


Can anybody help me? Please?