tess
Forum Guru
Topics: 131
Posts: 368
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Pt has hypernatremia boz of dehydrated adn malnourished, what to give?
1) Oral wather administration
2) IV 0.9% saline
3) IV 5% D/W (dextrose in water)
4) IV colloid and 0.9% saline
5) IV distilled water
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| doc4mindia
Forum Guru
Topics: 134
Posts: 243
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Hypernatremia with dehydration should be treated with isotonic (0.9%) saline to restore the volume deficit and to treat the hyperosmolality, since the osmolality of isotonic saline is often lower than that of the plasma.
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| tess
Forum Guru
Topics: 131
Posts: 368
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Answer is 3. boz pt is hypernatremia from dehydrated and also pt is malnourished.
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| bims
Forum Senior
Topics: 26
Posts: 118
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hi.i dont think it is 3,think doc4mindia is right.u cant use d/w to correct dehydration,it doesnt stay in circulation and wont expand volume.
___________________
BIMBOLA
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| Larry
Forum Newbie
Topics: 8
Posts: 21
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The appropriate practice would be D5W+0.45%NS, or D5W+0.9%NS, the principle is can't correct serum sodium more than 10 per day.
answer 2 is better than 3. 3 is a little risky for demylination.
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