SOLVED3585

A 55-year-old woman has long-standing type Il diabetes; it is treated with glyburide and rosiglitazone. She has had serum potassium levels in the 5.4 – 5.6 mEq/L level for the past few months. She takes no potassium supplements, and her average blood glucose levels are 120 mg/dL. Her hemoglobin A1C is 6%: Laboratory analysis shows: Serum creatinine 1.1 mg/dL Serum sodium 137 mEq/L Serum potassium 5.5 mEq/L Serum bicarbonate 21 mEq/L Serum chloride 105 mEq/L Urinalysis pH 6.5, no cells, no blood, no casts, spot microalbumin 30 mg/g creatinine What therapy will address this patient’s hyperkalemia and underlying renal defect? What is the underlying renal defect?
SCIENCE
HEALTH SCIENCE
NURSING

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