Wednesday, February 13, 2013

Answer and Explanation 25

25.  C is the correct answer.  Gentle hydration with normal saline is preferred.  Hydrating the patient with hypertonic saline puts the patient at risk for pontine myelinolysis.  The patient may need a work up for SIADH if there is not a logical explanation for the hyponatremia.  We do not have enough information to prove she has Addison's disease.  This presents with low blood sugar, high potassium and low sodium.




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