Question

A 70-year-old man on furosemide 40 mg daily for oedema presents with muscle cramps and fatigue. U\&Es: Na 132 mmol/L, K 2.9 mmol/L, bicarbonate 30 mmol/L. Which is the most appropriate immediate management?

Accepted Answer

Give oral potassium and review diuretic therapy

Answer

Stop furosemide; start IV insulin and glucose

Answer

Start spironolactone immediately and ignore potassium

Answer

Administer IV calcium gluconate

Answer

Start ACE inhibitor

Practice question

A 70-year-old man on furosemide 40 mg daily for oedema presents with muscle cramps and fatigue. U\&Es: Na 132 mmol/L, K 2.9 mmol/L, bicarbonate 30 mmol/L. Which is the most appropriate immediate management?