23rd February 2024

A 78 year old female presents with a two day history of central chest pain and palpitations.

A 78 year old female presents with a two day history of central chest pain and palpitations. She has a history of poorly controlled hypertension and takes multiple medications to try and control this. She was also recently diagnosed with Type 2 Diabetes and takes Metformin twice daily. An ECG is recorded which is normal except for abnormally tall T-Waves. A venous blood gas is obtained and the following results reported:

Hb 111, WCC 7.2, Plts 378, Na 132, K 6.8, Ur 8.1, Creatinine 104, CRP 56

Prescribe one drug that should be administered to the patient first for this condition.