]> 2026-07-31T09:39:52+00:00 WBR0232 0 en Start intravenous bicarbonate '''Correct''' : Once the patient is adequately hydrated with isotonic saline infusion, next step would be to save kidney’s by alkalizing urine with adequate bicarbonate infusion as the patient’s creatine kinase levels are very high. Start intravenous mannitol Start intravenous calcium Start intravenous kayexalate Start intravenous furosemide Emergency Room A 26 year old male is brought to the ER with severe muscle pain especially in the thighs. He is an alcoholic and has been drinking heavily for the past 48 hours. He is a smoker and also uses marijuana and cocaine occasionally. He has no other significant medical history. His vitals are pulse 118/min, BP: 100/60 mmHg, RR: 22/min, Temp: 100F. Lungs are clear. Skin and mucus membranes are dry. There is generalized muscle tenderness and strength is decreased globally. You start to hydrate the patient with isotonic saline. EKG taken is normal. Urine analyses are pending. Patients laboratory testing shows the following: Na: 147 mEq/L K: 5 mEq/L Chloride: 107 mEq/L Bicarbonate: 18 mEq/L BUN: 60 mg/dl Creatinine: 2.3 mg/dl Glucose:72 mg/dl Ca: 8mg/dl CK: 50,000 U/L Which of the following the most appropriate course of action? A Musculoskeletal/Rheumatology Neurology 2020-10-27T23:50:27Z 2459150.4933681 WBR0232