dimps
Forum Guru
Topics: 63
Posts: 446
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A 23-year-old man is admitted to the medical services for dehydration. He had just completed a marathon that afternoon and was brought to the hospital by his sister who found him to be lethargic and confused. His sister informs you that he has been training very vigorously for the marathon and completed the marathon in near-record time by not stopping for rehydration at all of the available rest stops. On examination, the patient is a well-developed man. He is speaking using unclear words and is warm to the touch with stable vital signs. His skin is very dry and his lips are chafed. His serum sodium is 163 mEq/L. The result is confirmed with the laboratory. The most appropriate management at this time is
A. intravenous half normal saline repletion
B. intravenous lactated ringers repletion
C. intravenous normal saline repletion
D. oral free water repletion
E. oral thiazide diuretics
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hi how r u
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| doc4mindia
Forum Guru
Topics: 134
Posts: 243
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D. oral free water repletion is the safest route of administration
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| meg
Forum Guru
Topics: 62
Posts: 806
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agree
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