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16th September 2024
A 70-year-old male is brought to the clinic by his wife, who has noticed that he has become increasingly confused
A 70-year-old male is brought to the clinic by his wife, who has noticed that he has become increasingly confused and sleepy over the last couple of weeks. His medical history includes type 2 diabetes mellitus, hypertension, benign prostatic hyperplasia (BPH), and congestive heart failure. On assessment, you note that his mucous membranes are dry, he’s asking for water, he is tachycardic with a rate of 110 and his BP is 100/50. AMTS is 4/10. Glucose is 5mmol/l (normal: 4-6 mmol/L), ketones 0.2 (normal: <0.6 mmol/L), pH 7.36 (normal: 7.35-7.45). The urea and electrolytes are below:
| Sodium | 153 mmol/l (135-145) |
| Potassium | 3.6 mmol/l (3.5-5.0) |
| Urea | 8.5 mmol/l (2.0-7.0) |
| Creatinine | 102 µmol/l (55-120) |
| Adjusted calcium | 2.3 mmol/l (2.1-2.6) |
Which of the following treatments would NOT be indicated?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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