A 58-Year-Old Man with Burkitt Lymphoma Is Admitted to the Hospital

A 58-year-old man with Burkitt lymphoma is admitted to the hospital for chemotherapy.  Medical history includes hypertension, stable angina, and hyperlipidemia.  Two days after starting chemotherapy, the patient reports nausea and generalized weakness.  Laboratory results are as follows: ECG shows peaked T waves.  In addition to calcium gluconate, which of the following is the best initial therapy for this patient?

A) Hemodialysis
B) High-dose dextrose alone
C) High-dose inhaled beta-2 agonist
D) Insulin and glucose
E) Intravenous furosemide
F) Intravenous sodium bicarbonate

Correct Answer:

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