Question 108 · LEK · Chronic heart failure
An 81-year-old patient was admitted to the hospital because of dyspnoea and swelling of the legs. His blood pressure is 120/70 mm Hg, serum creatinine level is in a normal range and serum sodium is 130 mmol/L. Which is the first step of the treatment?
- A. intravenous infusion of furosemide.
- B. intravenous infusion of 0.9% sodium chloride.
- C. intravenous infusion of 5% glucose solution.
- D. intravenous infusion of 20% glucose solution.
- E. intravenous infusion of 0.45% sodium chloride.
Hint
Dyspnoea and leg oedema with normal blood pressure suggest fluid overload; is the low sodium caused by sodium loss or by water excess?
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