Please confirm topic selection

Are you sure you want to trigger topic in your Anconeus AI algorithm?

Please confirm action

You are done for today with this topic.

Would you like to start learning session with this topic items scheduled for future?

Review Question - QID 108986

In scope icon M 7 D
QID 108986 (Type "108986" in App Search)
A 57-year-old woman presents to the emergency department for laboratory abnormalities detected by her primary care physician. The patient went to her appointment complaining of difficulty using her hands and swelling of her arms and lower extremities. The patient has notably smooth skin that seems to have not aged considerably. Upon seeing her lab values, her physician sent her to the ED. The patient has a past medical history of multiple suicide attempts, bipolar disorder, obesity, diabetes, and anxiety. Her current medications include lithium, insulin, captopril, and clonazepam. The patient's laboratory values are below.

Serum:
Na+: 140 mEq/L
K+: 5.2 mEq/L
Cl-: 100 mEq/L
HCO3-: 20 mEq/L
BUN: 39 mg/dL
Glucose: 127 mg/dL
Creatinine: 2.2 mg/dL
Ca2+: 8.4 mg/dL

The patient is restarted on her home medications. Her temperature is 99.5°F (37.5°C), pulse is 80/min, blood pressure is 155/90 mmHg, respirations are 11/min, and oxygen saturation is 97% on room air. Which of the following is the most appropriate next step in management?