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In practice, it is indirectly measured by comparing blood and urine levels of the metabolite creatinine (Baynes 2014)

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What is the management for a diabetic adult on Ozempic (semaglutide) and Jardiance (empagliflozin) presenting with 4 days of diarrhea, dehydration, leukocytosis, and metabolic acidosis with a serum pH of 7.23 and elevated lactate levels?