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A 62-year-old patient is admitted to the ICU with a serum po…

A 62-year-old patient is admitted to the ICU with a serum potassium level 7.5 mEq/L and abdominal pain. An electrocardiogram now reveals peaked T waves. Hemodialysis has been ordered. The dialysis catheter was placed, and hemodialysis will be initiated when the on-call staff arrives within the hour. What is the AG-ACNP’s most appropriate first line intervention?

A 58-year-old male with a past medical history of gouty arth…

A 58-year-old male with a past medical history of gouty arthritis presents to the emergency with complaints of acute onset of flank pain with radiation to the groin. He reported the pain appears to be worse with movement. Other associated symptoms are painful urination and blood-tinged urine. The clinical exam reveals a distressed male who grimaced while moving to try to find a comfortable position. He complained of severe pain in the costovertebral angle with percussion, and abdominal exam was negative. A urinary analysis revealed the following: color = cloudy, pH = 4.5, 10 red blood cells per high power field, 0 WBCs, and positive uric acid crystals. Considering examination findings and urinary analysis results, the most likely diagnosis is: