What Do You Suggest?

What Do You Suggest?

A 61 y/o F presents to the ED for evaluation of generalized weakness, the patient is unable to provide further history as she transiently becomes unconscious before regaining consciousness during your evaluation.  

The patient is now conscious and the below EKG is obtained, what electrolyte abnormality is suggested by this EKG?  What should your mgmt plan include?

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