A 3-year-old boy is seen in general practice with a two-day blanching viral rash and is otherwise well. He is…

Question

A 3-year-old boy is seen in general practice with a two-day blanching viral rash and is otherwise well. He is eating, playing and having his usual number of wet nappies, and examination including blood pressure is unremarkable. Blood was obtained from a squeezed finger prick after a prolonged struggle. The laboratory reports potassium 6.8 mmol/L (3.5-5.0), sodium 139 mmol/L, bicarbonate 23 mmol/L, and urea and creatinine normal. He is recalled the same afternoon and a 12-lead electrocardiograph…

Accepted Answer

Repeat the sample by venepuncture

Answer

Commence an insulin and glucose infusion

Answer

Give calcium gluconate 10% intravenously

Answer

Give salbutamol by nebuliser

Answer

Start sodium polystyrene sulfonate orally

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