FCCS Questions
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Terms in this set (44)
,A 76yoF PMHx CHF, HTN B) Hypertonic (3%) saline, 100 mL for rapid early
is admitted with AMS correction, with goal serum sodium of 118 mEq/L i
and mild upper 24 hours
respiratory sxs.
According to family, her
mental status gradually
declined over the last 3
days. Because
generalized weakness
and upper respiratory
sxs, limited amount of
food/drink in the last
72hrs. Home meds:
metoprolol, lisinopril,
furosemide. Family states
,she's compliant.
Vitals: HR 118, BP 96/53,
RR 14, SpO2 98% RA
Dry mucous membranes,
poor skin turgor,
absence of JVD. Clear on
auscultation. Opens eyes
to voice, mumbles
incomprehensible
sounds, generalized
weakness. 2 minute
tonic-clonic seizure in
ED which resolves
without intervention.
Na 110, K 4.5, Cl 80,
, Bicarb 26, BUN 57, Cr 1.2,
glucose 89.
Most appropriate next
step?
A) free water restriction
B) hypertonic (3%) saline,
100mL for rapid early
correction, goal serum
Na 118 in 24 hrs
C) Normal saline bolus,
1L over 10 min, repeat for
goal serum Na 128 in
24hrs
D) oral tolvaptan, 15mg
Save
Terms in this set (44)
,A 76yoF PMHx CHF, HTN B) Hypertonic (3%) saline, 100 mL for rapid early
is admitted with AMS correction, with goal serum sodium of 118 mEq/L i
and mild upper 24 hours
respiratory sxs.
According to family, her
mental status gradually
declined over the last 3
days. Because
generalized weakness
and upper respiratory
sxs, limited amount of
food/drink in the last
72hrs. Home meds:
metoprolol, lisinopril,
furosemide. Family states
,she's compliant.
Vitals: HR 118, BP 96/53,
RR 14, SpO2 98% RA
Dry mucous membranes,
poor skin turgor,
absence of JVD. Clear on
auscultation. Opens eyes
to voice, mumbles
incomprehensible
sounds, generalized
weakness. 2 minute
tonic-clonic seizure in
ED which resolves
without intervention.
Na 110, K 4.5, Cl 80,
, Bicarb 26, BUN 57, Cr 1.2,
glucose 89.
Most appropriate next
step?
A) free water restriction
B) hypertonic (3%) saline,
100mL for rapid early
correction, goal serum
Na 118 in 24 hrs
C) Normal saline bolus,
1L over 10 min, repeat for
goal serum Na 128 in
24hrs
D) oral tolvaptan, 15mg
