Question 12 (part 2) · LEK · Fluid therapy
Indicate the false statement regarding the administration of fluids and electrolytes in the A&E:
- A. an increased anion gap may indicate the presence of a serious disease or an overdose of a substance.
- B. large amounts of saline may cause hyperchlororemic metabolic acidosis.
- C. serum sodium concentration should not be increased at a rate greater than 0.5 mEq/L per hour or by more than 10-12 mEq/L per day.
- D. twitching, coma and newly emerging neurological symptoms in a previously healthy patient are contraindications to the administration of hypertonic sodium chloride solution in people with significant hyponatraemia.
- E. treatment of hypercalcaemia consists in induction of diuresis with sodium chloride solution, which is carefully supplemented with furosemide.
Hint
Consider what seizures and coma in severe hyponatraemia mean for the urgency of hypertonic saline.
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