Patient K., 58 y/o, complains of weakness, muscle ache, loss of appetite, nausea, vomiting, aching bones, deterioration of memory and cramps. In anamnesis there is a record of the ulcerous disease of stomach, frequent pathological bone fractures. Objectively: the consciousness is clouded, the skin is dry of ashy gray colour, present deformity of the vertebrae bodies, "goose-stepping" gait, X-ray shows systemic osteoporosis. Heart sounds are dull, rhythmical, arterial pressure – 160/100, pulse – 56beats/minute. The level of calcium in the blood – 3.9mmol/l; hypophosphatemia, hyperphophaturia; glycemia – 4.8mmol/l. What are you going to do with this patient?A. Introducing 2-3 l of 0.9 % solution of sodium chloride and the potassium phosphate and sodiumB. Introducing 150ml of 4.5 % solution of sodium chloride, 100mg prednisolone C. Introducing 100mg prednisolone, 40g furosemide D. Introducing 1-2ml 0.5% solution of strophanthin, 100mg prednisoloneE. Introducing 40-60ml of 40% glucose solution, 80g furosemide
Patient K., 58 y/o, complains of weakness, muscle ache, loss of appetite, nausea, vomiting,
aching bones, deterioration of memory and cramps. In anamnesis there is a record of the ulcerous disease of stomach, frequent pathological bone fractures. Objectively: the consciousness is clouded, the skin is dry of ashy gray colour, present deformity of the vertebrae bodies, "goose-stepping" gait, X-ray shows systemic osteoporosis. Heart sounds are dull, rhythmical, arterial
pressure – 160/100, pulse – 56beats/minute. The level of calcium in the blood – 3.9mmol/l;
hypophosphatemia, hyperphophaturia; glycemia – 4.8mmol/l. What are you going to do with this patient?
A. Introducing 2-3 l of 0.9 % solution of sodium chloride and the potassium phosphate and sodium
B. Introducing 150ml of 4.5 % solution of sodium chloride, 100mg prednisolone
C. Introducing 100mg prednisolone, 40g furosemide
D. Introducing 1-2ml 0.5% solution of strophanthin, 100mg prednisolone
E. Introducing 40-60ml of 40% glucose solution, 80g furosemide
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