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Medicine Fluid & Electrolyte 20d215b8

A 25 year male presented with nausea, vomiting, epigastric pain, Na+ level is 125 meq/L. Treatment start with

A
Give hypotonic saline
B
Ultra centrifugation
C
Haemodialysis
D
High protein diet
High-Yield Explanation
(Give hypotonic saline) (758- 61 - CMDT- 08) (277-79, 2223-2224-Hl7th)* Treatment consist of replacement of lost volume with isotonic or half normal (0.45%) saline or lactated Ringer *s infusion in hypovolemic Hypotonic Hyponatremia* Asymptomatic hyponatremia - water restriction, 0.9% saline Demeclocycline. Fludrocortisone, selective renal vasopressin V2 antagonists (conivaptan. Mozavaptan, tolvaptan)* Hypervolemic hypotonic hyponatremia - water restriction Diuretics and V2 antagonists. Hypertonic (3%) saline

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