Endocrine and Metaboliccommon
A 34-year-old woman with known autoimmune Addison disease presents with vomiting, abdominal pain and profound weakness. Her blood pressure is 82/48 mmHg, sodium is 119 mmol/L (135–145), potassium is 6.3 mmol/L (3.5–5.2), and glucose is 2.8 mmol/L (3.5–7.8). She cannot retain oral medication, and treatment should not wait for confirmatory blood tests. Which is the most appropriate immediate treatment?