Question 103 · LEK · Water balance

A 50-year-old man comes to the ER because of vomiting for the last 24 hours. The first and immediate step should be the intravenous transfusion of:

  1. A. 5% glucose solution.
  2. B. 10% glucose solution.
  3. C. 20% glucose solution.
  4. D. 0.9% saline solution.
  5. E. 3% saline solution.
Hint

Prolonged vomiting causes losses of water, sodium, chloride and hydrogen ions; choose a fluid that restores both volume and chloride.

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