29th February 2024

A previously well 3-year-old girl has recently been admitted to paediatrics with severe sepsis secondary to pneumonia.

A previously well 3-year-old girl has recently been admitted to paediatrics with severe sepsis secondary to pneumonia. She has been treated with IV antibiotics and has been recovering well. Her most recent blood results are shown below:

Na 132 (135-145 mmol/l)

K 4.9 (3.5-5 mmol/l)

Ur 9.0 (3-7 mmol/l)

Cr 342 (60-125 umol/l)

Which of the following medications is most likely to have caused the abnormality shown?