determine
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A 57-year-old woman is receiving total parenteral nutrition and pre-operative radiotherapy for obstructive esophageal carcinoma. She becomes lethargic and demonstrates bizarre behavior. Urine output is 3400 mL/24 hours. To determine the cause, the most useful test would be <?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
1) lumbar puncture.
2) computed tomography scan of brain.
3) urine/serum creatinine ratio.
4) liver enzymes.
5) blood glucose.
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| babli
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blood glucose.
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| Rasul
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blood glucose
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| determine
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could you pls explain?
thanks
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| AAAAA
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Let's dissect this question and ask WHY ????? WHY ????????
An esophegeal carcinoma patient= must be starving, nothing to eat
pre-radiation= ready for syrgery and poor intake
TPN= high solute, hyperglycemia TPN means a lot of highly concentrated nutients
3400 ml/24 hour urine output= a lot of water get out along with some solutes
patient is pouring out large amount of urine (3400 ml of water with a lot of sodium)
Electrolytesimbalance which one?
A sudden shift of electrolyes and water causes what ? hahahh Think
Hyperglycemia cause pseudohyponatremia
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