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Chapter 16, Problem 3CCS

70-Year-Old Male with Polyuria

Mr. Gutteman, a 70-year-old male, was brought into the ER. He had been sick several days with the flu, and was found confused and barely conscious by his daughter.

Chapter 16, Problem 3CCS, 70-Year-Old Male with Polyuria

Mr. Gutteman, a 70-year-old male, was brought into the ER. He had

Mr. Gutteman is breathing rapidly and has a fever of 39°C (102°F). His skin is dry and flaccid, his mucous membranes are dry, and his eyes are sunken. The physician ordered:

•IV (intravenous) fluid and electrolyte replacement

•Blood and urine tests for presence of glucose and ketones

•Strict I&O [careful measurement of fluid intake (e.g., IV, drinking) and output (e.g., urine)]

3. Mr. Gutteman's diagnosis is diabetes insipidus. His daughter is concerned about this, because she knows diabetes is a dangerous disease. She asks whether he will have to follow a diabetic diet. What’s your answer?

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