Results of the Laboratory Tests Show an Increased Anion Gap

question 508

Multiple Choice

Results of the laboratory tests show an increased anion gap metabolic acidosis.  An underlying cause is established, and appropriate treatment is instituted.  Within several hours, the patient's mental status improves significantly.  Repeat laboratory studies show an increase in serum bicarbonate and sodium levels, a decrease in serum osmolality, and a drop in the serum potassium level.  Which of the following treatments was most likely given to this patient?

• A)Insulin and normal saline
• B)Loop diuretics
• C)Mineralocorticoid injection
• D)Opioid antagonists
• E)Thyroxine supplementation

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