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Old 04-16-2010
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Default Wich IV Fluid you recommend to this lady?

A 30-year-old woman with a 1-week history of severe diarrhea feels dizzy when she stands up. Blood pressure (while supine) is 112/76 mm Hg with a pulse of 88/min; blood pressure (while standing) is 80/60 mm Hg with a pulse of 120/min. In addition to controlling her diarrhea, the most appropriate initial therapy is intravenous administration of which of the following?

(A) Desmopressin
(B) 5% Dextrose in water
(C) Fresh frozen plasma
(D) 0.9% Saline
(E) Methoxamine
(F) Verapamil
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Old 04-16-2010
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Metabolic acidosis? Isotonic fluid loss= just give what you lost . You lost isotonic solution. GIVE BACK isotonic solution 0.9 Nacl
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Old 04-16-2010
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the D .give 0.9% normal saline.
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Old 04-18-2010
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Quote:
Originally Posted by marco View Post
Metabolic acidosis? Isotonic fluid loss= just give what you lost . You lost isotonic solution. GIVE BACK isotonic solution 0.9 Nacl
yes the answer is D.
but can u pls tell me the diff between 5% dextrose n 0.9 NaCl? and y with met. acidosis u have to give back normal saline. if a child has had severe diarrhea for several days and came in to the ED, then wont be resuscitation fluid be a crystalloid?

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