A 52-year-old man with gastric outlet obstruction secondary to a duodenal ulcer presents with hypochloremic, hypokalemic metabolic alkalosis. Which of the following is the most appropriate therapy for this patient?

Question

Accepted Answer

Infusion of 0.9% NaCl with supplemental KCl until clinical signs of volume depletion are eliminated

Answer

Infusion of isotonic (0.15 N) HCl a central venous catheter

Answer

Clamping the nasogastric tube to prevent fuher acid losses

Answer

Administration of acetazolamide to promote renal excretion of bicarbonate

A 52-year-old man with gastric outlet obstruction secondary to a duodenal ulcer presents with hypochloremic, hypokalemic metabolic alkalosis. Which of the following is the most appropriate therapy for this patient?

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