Question 107 · LEK · Water balance
In the morning a 52-year-old patient comes to the emergency room because of weakness. He suffered from diarrhea and vomiting the last night just like his wife a few days earlier. He is not able to drink any fluids, his tongue is dry, the heart rate is 95 per minute and the blood pressure is 90/60 mm Hg. What should be the first step of the treatment?
- A. intravenous infusion of glucose 5% solution.
- B. intravenous infusion of multiple electrolyte solution.
- C. intravenous infusion of sodium bicarbonate solution.
- D. intravenous infusion of calcium gluconate solution.
- E. intravenous infusion of magnesium sulfate solution.
Hint
The patient is hypovolaemic after gastrointestinal losses; choose a fluid that resembles extracellular fluid and stays in the extracellular space.
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