A 49-year-old male was brought to the Emergency Department for evaluation of nausea, fatigue, and weakness for 24 h. His wife says that he had been having binge drinking without any food intake. He is not taking any medications. On physical examination, he was euvolemic. His weight is 70 kg. BP is 100/60 mmHg with a pulse rate of 82 beats/min. Serum [Na*] is 120 mEq/L; [K*] 3.8 mEq/L; BUN 8 mg/dL; creatinine 0.6 mg/dL; and osmolality 230 mOsm/kg H,0. Urine studies are: Osmolality 75 mOsm/kg H2O; Na* 10 mEq/L; and K* 20 mEq/L. The diagnosis of beer potomania was made. Assuming no urine output in 2-3 h, which one of the following is the MOST appropriate herapy for this patient? A. D5W 3. 0.9 % NaCl C. 3% NaCl

Curren'S Math For Meds: Dosages & Sol
11th Edition
ISBN:9781305143531
Author:CURREN
Publisher:CURREN
Chapter23: Pediatric Intravenous Medications
Section: Chapter Questions
Problem 25SST
icon
Related questions
Question
A 49-year-old male was brought to the Emergency Department for evaluation of nausea, fatigue, and weakness for 24 h.
His wife says that he had been having binge drinking without any food intake. He is not taking any medications. On
physical examination, he was euvolemic. His weight is 70 kg. BP is 100/60 mmHg with a pulse rate of 82 beats/min.
Serum [Na] is 120 mEq/L; [K] 3.8 mEq/L; BUN 8 mg/dL; creatinine 0.6 mg/dL; and osmolality 230 mOsm/kg
H,O. Urine studies are: Osmolality 75 mOsm/kg H,O; Na* 10 mEq/L; and K* 20 mEq/L. The diagnosis of beer
potomania was made. Assuming no urine output in 2-3 h, which one of the following is the MOST appropriate
therapy for this patient?
A. D5W
B. 0.9 % NaCI
C. 3% NaCl
D. 0.45 % NaCl
E. Fluid restriction and NaCl tablets
Transcribed Image Text:A 49-year-old male was brought to the Emergency Department for evaluation of nausea, fatigue, and weakness for 24 h. His wife says that he had been having binge drinking without any food intake. He is not taking any medications. On physical examination, he was euvolemic. His weight is 70 kg. BP is 100/60 mmHg with a pulse rate of 82 beats/min. Serum [Na] is 120 mEq/L; [K] 3.8 mEq/L; BUN 8 mg/dL; creatinine 0.6 mg/dL; and osmolality 230 mOsm/kg H,O. Urine studies are: Osmolality 75 mOsm/kg H,O; Na* 10 mEq/L; and K* 20 mEq/L. The diagnosis of beer potomania was made. Assuming no urine output in 2-3 h, which one of the following is the MOST appropriate therapy for this patient? A. D5W B. 0.9 % NaCI C. 3% NaCl D. 0.45 % NaCl E. Fluid restriction and NaCl tablets
Expert Solution
steps

Step by step

Solved in 2 steps

Blurred answer
Knowledge Booster
Clinical pharmacology
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, biology and related others by exploring similar questions and additional content below.
Similar questions
  • SEE MORE QUESTIONS
Recommended textbooks for you
Curren'S Math For Meds: Dosages & Sol
Curren'S Math For Meds: Dosages & Sol
Nursing
ISBN:
9781305143531
Author:
CURREN
Publisher:
Cengage
Biomedical Instrumentation Systems
Biomedical Instrumentation Systems
Chemistry
ISBN:
9781133478294
Author:
Chatterjee
Publisher:
Cengage
Cardiopulmonary Anatomy & Physiology
Cardiopulmonary Anatomy & Physiology
Biology
ISBN:
9781337794909
Author:
Des Jardins, Terry.
Publisher:
Cengage Learning,
3-2-1 Code It
3-2-1 Code It
Biology
ISBN:
9781337660549
Author:
GREEN
Publisher:
Cengage
Basic Clinical Laboratory Techniques 6E
Basic Clinical Laboratory Techniques 6E
Biology
ISBN:
9781133893943
Author:
ESTRIDGE
Publisher:
Cengage
An Illustrated Guide To Vet Med Term
An Illustrated Guide To Vet Med Term
Biology
ISBN:
9781305465763
Author:
ROMICH
Publisher:
Cengage