29th September 2021

A 13-year-old boy with a month’s history of dizziness, orthostatic hypotension and unintentional weight loss presents to A+E

A 13-year-old boy with a month’s history of dizziness, orthostatic hypotension and unintentional weight loss presents to A+E with severe abdominal pain, drowsiness, extreme fatigue and thirst. On primary survey, the doctor checks the patient’s glucose which comes out as 1.3mmol/L and is then started on IV dextrose. His respiratory rate is 19, heart rate is 130 and blood pressure is 80/60.

Given the information, which is the most appropriate immediate management plan for this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.