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Treatment of excessive sweating?

2429 Views 7 Replies 4 Participants Last post by  ashishkabir, 
A
If a man is found after wandering the desert and has sweated excessively he looses hypotonic fluid thus he becomes hypovolemic hypertonic. So wouldn't you treat him with hypotonic fluid to bring his values back to normal. It says in kaplan to treat him with isotonic saline. I was taught to replace the fluid that is lost (ex. hypotonic fluid). Is there any general rule to the type of fluid replacement treatments for these kind of disorders because I keep getting confused? thanks
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A
Hmm - okay - so we're saying here that we shouldn't go by "give them what they lost" but instead give them normal saline and the body will adjust?

If it then doesn't adjust, we give them what they're missing? So in this instance after we finish a bag of normal saline, we would find something more hypotonic to give? It'd be great if we could find a flowchart or something like that to follow depending on what situation the patient comes in with...
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That does make sense - keep the volume up first... Thanks for following up guys!
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