system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 62-year-old man is brought to the emergency room because of pain in his right hip. He was found lying on the floor several hours after falling onto his right side. Ten years ago, he received a renal transplant from a living related donor. He has a 4-year history of type 2 diabetes. Current medications include prednisone, cyclosporine, and metformin. Examination shows a shortened and externally rotated right leg. There is extensive bruising over the right buttock and thigh. X-ray of the right hip shows a displaced femoral neck fracture. The patient is resuscitated in the emergency room and taken to surgery for a right total hip replacement. Post-operative laboratory studies show:
Hemoglobin 11.2 g/dL
Serum
Na+ 148 mmol/L
K+ 7.1 mmol/L
Cl- 119 mmol/L
HCO3- 18 mmol/L
Urea nitrogen 22 mg/dL
Creatinine 1.6 mg/dL
Glucose 200 mg/dL
Creatine kinase 1,562 U/L
His urine appears brown. Urine dipstick is strongly positive for blood. ECG shows peaked T waves. Intravenous calcium gluconate is administered. What is the most appropriate next step in management?"
assistant
Administer intravenous insulin and glucose