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Mrs. Sharma, a 67-year-old female admitted with heart failure, is being treated with aspirin, frusemide, and dobutamine infusion. On the first day of hospitalization she passed 2400 ml of urine, indicating significant diuresis. Subsequently, she developed fatigue, refusal to eat, abdominal distention with paralytic ileus, and laboratory findings revealed severe hypokalemia with a serum potassium level of 2.7 mEq/L. In a geriatric patient, such electrolyte imbalance can have serious systemic consequences, and prompt, comprehensive management is required. The primary problem in this case is hypokalemia, most likely induced by frusemide, a loop diuretic that increases renal excretion of potassium. Excessive diuresis in elderly patients can rapidly deplete potassium stores. Dobutamine may also contribute indirectly by increasing renal perfusion and urine output. Hypokalemia explains her fatigue, anorexia, and paralytic ileus. In older adults, even moderate electrolyte imbalance can manifest with significant gastrointestinal and neuromuscular symptoms. The immediate management involves correction of hypokalemia. Since her serum potassium is 2.7 mEq/L, which is moderately to severely low, ________ _______ _________ _____ ___ _________ ___ _______ ______ ____ _________.
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