15th July 2024

An 82-year-old on lenalidomide therapy for known multiple myeloma is admitted to the acute medical unit

An 82-year-old on lenalidomide therapy for known multiple myeloma is admitted to the acute medical unit with reduced urine output, increased confusion and abdominal pain.  On examination, she is dehydrated with a GCS of 13.  Observations are unremarkable. ECG shows sinus rhythm with a corrected QT interval of 350 ms. What is the most important immediate action?

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