SIADH...Tx?? - usmlefear

[ArchivalUser]

1. A previously healthy 52-year-old man comes to the emergency department because of hiccups for 1 week. He has smoked two packs of cigarettes daily for 30 years. He does not drink alcohol. He is alert and oriented. His temperature is 37 C (98.6 F), blood pressure is 150/95 mm Hg, pulse is 70/min, and respirations are 12/min. Physical and neurologic examinations show no abnormalities. His serum sodium level is 120 mEq/L. An x-ray film of the chest shows a right hilar mass. Which of the following is the most appropriate next step in treatment?
A) Bisphosphonate therapy
B) Calcitonin therapy
C) Calcium therapy
D) Dexamethasone therapy
E) 5% Dextrose in 0.225% saline therapy
F) 5% Dextrose in 0.45% saline therapy
G) 5% Dextrose in water therapy
H) Fluid restriction
I) Hydrocortisone therapy
J) Lactated Ringer's solution

[ArchivalUser]

K) Mannitol therapy
L) Potassium therapy
M) 0.9% Saline therapy
N) 3% Saline therapy
O) Sodium bicarbonate therapy

SORRY THIS WAS ALSO PART OF THE ANSWERSS

[ArchivalUser]

H???

[ArchivalUser]

H.....small cell cancer > SIADH> mild, slowly developed hyponatremia(no confusion, siezures) is best treated with fluid restriction...

[ArchivalUser]

Ok got it guys...yup its H the 3% saline I was thinking of is only given if this patient had severe confusion, convulsions or coma...thanks guys

[ArchivalUser]

H IS THE ANSWER