Final answer:
The initial IV saline administration rate for a patient with diabetic ketoacidosis should be around 15 to 20 mL/kg per hour, but may vary based on individual needs and the situation's severity.
Step-by-step explanation:
The rate at which IV saline should be administered to a patient with diabetic ketoacidosis during the first hour of treatment is typically around 15 to 20 mL/kg body weight per hour. However, this rate can vary based on the individual patient's needs and the severity of the ketoacidosis. The goal is to correct dehydration, electrolyte imbalance, and to begin lowering blood glucose levels safely.
In most protocols, after the initial bolus, the infusion rate is reduced to 4-14 mL/kg per hour depending on the patient's response and ongoing assessments. It is best to always consult a medical professional for specific treatment protocols.