Su. Pa. Pardesh Loksewa 2082 B.S.

A 55-year-old man with CKD presents with nausea, vomiting, and altered mental status. His labs show: BUN: 110mg/dL, Creatinine: 8.5mg/dL, Serum potassium: 6.2mmol/L, ECG: Peaked T waves and pH: 7.34. What is the most appropriate next step?

A 35-year-old female with Palpitations, heat intolerance, and weight loss. TSH is undetectable, and free T4 is elevated. Radioactive iodine uptake (RAIU) is diffusely increased. What is the best initial treatment?

A 20-year-old female with type 1 diabetes presents with nausea, vomiting and abdominal pain. On exam: BP 90/60, deep rapid breathing (Kussmaul respiration). Urine shows ketones, and blood glucose is 480mg/dL. What is the first priority in management?