MSRA-2353

MSRA-2353

A 56-year-old man is admitted to the hospital with a high stoma output from his ileostomy. He had a colectomy 8 years ago due to severe ulcerative colitis. He complains of leg cramps and occasional palpitations, and feels weak. Upon examination, his abdomen is soft with slight tenderness throughout. His blood work reveals a sodium level of 138 mmol/l, potassium level of 2.2 mmol/l, urea level of 13.3 mmol/l, and creatinine level of 150 µmol/l. An ECG shows flattened T waves and U waves. He is admitted to the medical admission unit. How should his electrolyte imbalance be managed?