7th July 2024

A 32-year-old male with a recent diagnosis of lymphoma presented with a fever and lethargy

A 32-year-old male with a recent diagnosis of lymphoma presented with a fever and lethargy. He was started on intravenous Tazocin and Gentamicin for suspected sepsis. The following day, he developed poor urine output and investigations show: Hb 85 g/L (115-165), WBC 13.6×10⁹/L (4-11), Neutrophil 5.9×10⁹/L (2-8), Platelet 180×10⁹/L (150-400), Na 141 mmol/L (135-145), K 6.1 mmol/L (3.5-5), Urea 10.6mmol/L (2.5-7.5), Creatinine 265 μmol/L (60-110), Serum Adjusted Calcium 1.65 mmol/L (2.20-2.60), Serum Phosphate 1.60 mmol/L (0.80-1.40), LDH 1320 U/L (10-250), Serum Urate 0.61 mmol/L (0.19-0.36). What is the most appropriate initial management strategy for this condition?

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