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The patient is a 37-year-old female who presented with a history of longstanding hypertension and diabetes mellitus. She had recently started on a new diuretic, and felt very weak and lightheaded.
Her blood pressure was 88/56 mmHg with a pulse of 44 beats per minute.

After reviewing the ECG, consider the following questions:
1. Based on this ECG, what type of diuretic is she likely to be taking?
2. How should she be managed?

37-year-old diabetic female feeling weak after switching diuretics

John F. O'Brien, MD, FACEP

Associate Residency Director of the Department of Emergency Medicine at Orlando Regional Medical Center
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