- HR 38-46 bpm
- BP 88/54 mmHg
- SpO₂ 98 %
- BMI 18.1 kg/m²
- Phos 2.2 mg/dL
- Mg 1.2 mg/dL
- K⁺ 3.0 mEq/L
A 21-year-old woman with anorexia nervosa is admitted for bradycardia and orthostatic hypotension, meaning her blood pressure drops when she stands. She is eating only about 25% of her meals and refuses oral nutritional supplements. Her QTc interval is normal at 420 ms, indicating a stable heart rhythm. Her abdomen is distended with absent bowel sounds, and she has had two episodes of vomiting today. She agrees to “try harder tomorrow,” but her intake has not improved over 24 hours, and her weight has been stable since admission.
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