RT Book, Section A1 Shah, Niel A1 Ali, Nisha A1 Miranda, Jeirym A1 Saad, Muhammad A2 Saad, Muhammad A2 Bhandari, Manoj A2 Vittorio, Timothy J. SR Print(0) ID 1166697568 T1 10 Real Cases on Electrolyte Management and Miscellaneous Cases on Telemetry T2 Patient Management in the Telemetry/Cardiac Step-Down Unit: A Case-Based Approach YR 2020 FD 2020 PB McGraw-Hill Education PP New York, NY SN 9781260456998 LK accessmedicine.mhmedical.com/content.aspx?aid=1166697568 RD 2024/03/28 AB A 68-year-old male nursing home resident was brought to the emergency department by emergency medical services for altered mental status since early morning. As per nursing home staff, the patient had been experiencing poor oral intake and had been noted to be withdrawn from social activities over the past few days. Review of system was negative for nausea, vomiting, diarrhea, or fever. His medical history included hypertension, hyperlipidemia, osteoarthritis, and dementia. His medications included amlodipine, simvastatin, and multivitamins. Physical examination showed stable vital signs. However, the patient was cachectic, had dry mucous membranes, was alert and awake, and was able to follow commands but was confused. The rest of the examination was completely unremarkable. Significant laboratory data showed sodium of 167 mmol/L, chloride of 125 mmol/L, potassium of 4.0 mmol/L, and creatinine of 1.8 mg/dL (137.25 µmol/L). His cell count was normal. CT of the head showed no acute infarct, mass, or hemorrhages as well as no chronic microvascular changes. He was started on intravenous fluid and was transferred to the telemetry unit for electrolyte monitoring. How would you manage this case?