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A 49-year-old male was brought to the Emergency Department for evaluation of nausea, fatigue, and weakness for 24 h. His wife says that he had been having binge drinking without any food intake. He is not taking any medications. On physical examination, he was euvolemic. His weight is 70 kg. BP is 100/60 mmHg with a pulse rate of 82 beats/min. Serum [Na*] is 120 mEq/L; [K*] 3.8 mEq/L; BUN 8 mg/dL; creatinine 0.6 mg/dL; and osmolality 230 mOsm/kg H,0. Urine studies are: Osmolality 75 mOsm/kg H2O; Na* 10 mEq/L; and K* 20 mEq/L. The diagnosis of beer potomania was made. Assuming no urine output in 2-3 h, which one of the following is the MOST appropriate herapy for this patient? A. D5W 3. 0.9 % NaCl C. 3% NaCl

A 49-year-old male was brought to the Emergency Department for evaluation of nausea, fatigue, and weakness for 24 h. His wife says that he had been having binge drinking without any food intake. He is not taking any medications. On physical examination, he was euvolemic. His weight is 70 kg. BP is 100/60 mmHg with a pulse rate of 82 beats/min. Serum [Na*] is 120 mEq/L; [K*] 3.8 mEq/L; BUN 8 mg/dL; creatinine 0.6 mg/dL; and osmolality 230 mOsm/kg H,0. Urine studies are: Osmolality 75 mOsm/kg H2O; Na* 10 mEq/L; and K* 20 mEq/L. The diagnosis of beer potomania was made. Assuming no urine output in 2-3 h, which one of the following is the MOST appropriate herapy for this patient? A. D5W 3. 0.9 % NaCl C. 3% NaCl

Human Anatomy & Physiology (11th Edition)
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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A 49-year-old male was brought to the Emergency Department for evaluation of nausea, fatigue, and weakness for 24 h. His wife says that he had been having binge drinking without any food intake. He is not taking any medications. On physical examination, he was euvolemic. His weight is 70 kg. BP is 100/60 mmHg with a pulse rate of 82 beats/min. Serum [Na] is 120 mEq/L; [K] 3.8 mEq/L; BUN 8 mg/dL; creatinine 0.6 mg/dL; and osmolality 230 mOsm/kg H,O. Urine studies are: Osmolality 75 mOsm/kg H,O; Na* 10 mEq/L; and K* 20 mEq/L. The diagnosis of beer potomania was made. Assuming no urine output in 2-3 h, which one of the following is the MOST appropriate therapy for this patient? A. D5W B. 0.9 % NaCI C. 3% NaCl D. 0.45 % NaCl E. Fluid restriction and NaCl tablets
Transcribed Image Text:A 49-year-old male was brought to the Emergency Department for evaluation of nausea, fatigue, and weakness for 24 h. His wife says that he had been having binge drinking without any food intake. He is not taking any medications. On physical examination, he was euvolemic. His weight is 70 kg. BP is 100/60 mmHg with a pulse rate of 82 beats/min. Serum [Na] is 120 mEq/L; [K] 3.8 mEq/L; BUN 8 mg/dL; creatinine 0.6 mg/dL; and osmolality 230 mOsm/kg H,O. Urine studies are: Osmolality 75 mOsm/kg H,O; Na* 10 mEq/L; and K* 20 mEq/L. The diagnosis of beer potomania was made. Assuming no urine output in 2-3 h, which one of the following is the MOST appropriate therapy for this patient? A. D5W B. 0.9 % NaCI C. 3% NaCl D. 0.45 % NaCl E. Fluid restriction and NaCl tablets
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