]> 2026-07-31T11:52:04+00:00 WBR0227 0 en Start him on I.V calcium gluconate '''Incorrect''' : I.V calcium gluconate is given when ECG shows T-wave fl attening, U waves (an additional wave after the T wave), and ST-segment depression, leading to AV block and subsequent cardiac arrest. Replace magnesium, as this deficiency complicates calcium repletion. Start IV Potassium supplementation '''Incorrect''' : IV potassium repletion is done when the patients presents with symptoms of hypokalemia like fatigue, muscle weakness or cramps, ileus. Do not exceed 20 mEq/L/hr. Replace magnesium, as this deficiency complicates potassium repletion. Administer oral calcium supplements '''Incorrect''' : Oral supplementation are only preferable for chronic asymptomatic condtions. '''Incorrect''' : Hypokalemia and hypocalcemia is done only after magnesium correction. Start him on IV Magnesium '''Correct''' : Hypokalemia and hypocalcemia will not correct without magnesium correction. Emergency Room A 40 yr old male is brought by his daughter to the ER with complaints of anorexia, nausea, vomiting, muscle cramps and weakness for the past two days. His daughter says he attended a party with his friend’s couple of days back. He is a known diabetic on regular oral hypoglycaemic drugs. On Physical examination his temperature is 36.7 C, blood pressure is 130/70 mmHg, pulse is 102/min and respiartions are 16/min. His oxygen saturation is 97% on room air. His fingerpick test show glucose of 110 mg/dl. On neurological examination, the patient is consious and cooperative. He knows his name and oriented to time and place. He can move all his extremities. Touch sensation are intact but deep tendon reflexes are sluggish. He is adequately hydrated and his EKG reveals prolonged PR and QT intervals. Serum chemistry shows Na:135 mEq/L, K: 3 mEq/L, Cl:104mEq/L, Bi: 24 mEq/L, BUN: 30 mg/dl, glucose:72 mg/dl, Mg:1mg/dl and Ca: 8mg/dl. What is the most appropriate way to manage this patient? E Electrolytes 2020-10-27T23:49:37Z 2459150.4927894 WBR0227