instruction:
In this task, you are given a sentence in the English language. Your job is to translate the English sentence into the Spanish language.
question:
What is the common denominator of well-established psychological treatments for childhood phobias ?
answer:
¿Cuál es el denominador común de los tratamientos psicológicos bien establecidos para las fobias infantiles?


question:
Golgi's myotendinous organ
answer:
El órgano miotendinoso de Golgi


question:
Question linked to the image nº14 An 83-year-old man went to the emergency room for asthenia, malaise and diarrhea. History of hypertension, diabetic with chronic kidney disease (EFG 32 mL / min) and heart failure (FE 30%). In treatment with digoxin, nebivolol, furosemide, allopurinol, spironolactone, enalapril, atorvastatin and sitagliptin. On examination, there are signs of mucosal dehydration. PA 90/44 mm / Hg, FC 67 bpm. Analysis Hb 10.8 g / dL, glucose 156 mg / dL, urea 125 mg / dL, creatinine 3.25 mg / dL, K 7.5 mEq / L, Na 138 mEq / L, pH 7.31, bicarbonate 16 mmol / L. The following ECG is performed. What is the first measure to establish in this patient?
answer:

Pregunta vinculada a la imagen nº14 Hombre de 83 años que acude a urgencias por astenia, malestar general y diarrea. Antecedentes de HTA, diabético con enfermedad renal crónica (EFG 32 mL/min) e insuficiencia cardiaca (FE 30%). En tratamiento con digoxina, nebivolol, furosemida, alopurinol, espironolactona, enalapril, atorvastatina y sitagliptina. En la exploración destacan signos de deshidratación de mucosas. PA 90/44 mm/Hg, FC 67 lpm. Análisis Hb 10,8 g/dL, glucosa 156 mg/dL, urea 125 mg/dL, creatinina 3,25 mg/dL, K 7,5 mEq/L, Na 138 mEq/L, pH 7,31, bicarbonato 16 mmol/L. Se realiza el siguiente ECG. ¿Cuál es la primera medida a instaurar en este paciente?