#june2020mccqe1
An 18-year-old woman presents to the emergency department with acute mental status changes, rapid and deep breathing, abdominal pain, and vomiting. On examination she is tachypneic and tachycardic, her abdomen is soft and nontender, and her mucous membranes are dry. Laboratory values are notable for a potassium level of 5.5 mEq/L, bicarbonate of 12 mEq/L, and serum glucose of 400 mg/dL. Which of the following is the most appropriate strategy during the first 24 hours?
(A) Diuresis and ventilatory support
(B) Diuresis, strict potassium restriction, and insulin
(C) Intravenous fluids, insulin, and potassium
(D) Intravenous fluids, insulin, and strict potassium restriction
(E) Intravenous fluids, loop diuretic, and potassium
An 18-year-old woman presents to the emergency department with acute mental status changes, rapid and deep breathing, abdominal pain, and vomiting. On examination she is tachypneic and tachycardic, her abdomen is soft and nontender, and her mucous membranes are dry. Laboratory values are notable for a potassium level of 5.5 mEq/L, bicarbonate of 12 mEq/L, and serum glucose of 400 mg/dL. Which of the following is the most appropriate strategy during the first 24 hours?
(A) Diuresis and ventilatory support
(B) Diuresis, strict potassium restriction, and insulin
(C) Intravenous fluids, insulin, and potassium
(D) Intravenous fluids, insulin, and strict potassium restriction
(E) Intravenous fluids, loop diuretic, and potassium
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