10th February 2022

A 40-year-old patient, with a recent diagnosis of liver cirrhosis, presents to A&E

A 40-year-old patient, with a recent diagnosis of liver cirrhosis, presents to A&E with sudden shortness of breath, chest pain and vomiting for the past 24 hours. An ABG showed a potassium level of 6.1 mmol/L. She has developed diabetic neuropathy and nephropathy as a result of her type 1 diabetes. Her medication history includes insulin, prednisolone, losartan, carbamazepine, levothyroxine, and spironolactone. Which of the following medications is most likely to have caused the above symptoms?

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