Question 38 · LEK · Sodium balance

In a 75-year-old woman in a check-up a serum sodium of 132 mmol/l has been found. The woman does not complain about any symptoms and does not take any drugs. Indicate the proper way of treatment:

  1. A. intravenous infusion of 10% NaCl.
  2. B. intravenous infusion of 3% NaCl.
  3. C. intravenous infusion of 0.9% NaCl.
  4. D. oral NaCl administration.
  5. E. recommend only a healthy and balanced diet.
Hint

Consider the severity, the absence of symptoms and of drugs — does mild asymptomatic hyponatraemia need active sodium replacement?

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