11-05-2014, 07:14 AM
A 20 years male is brought to your emergency department with complains of fever, nausea and vomiting with lower quadrant abdominal pain. There is no signifiant medical or surgical history and the patent doesn't take any long term medication of any illness. He says he doesn't do smoking, alcohol or illicit drug use. Vitals are P: 80bpm, BP:110/80mm of Hg, T: 38.6C, RR:14. You decide to do CT scan of the abdomen which comes back with the diagnosis of Acute Appendicitis. The patent was rushed to the OR and appendectomy was performed and he was given 5DW with half NS. On the next day, the first post op day the patient seems to be confused and when you were taking rounds he had two tonic clonic seizure back to back. You ask to get the serum sample and it came as sodium being 118mEq/L. What is the most appropriate therapy?
A. 0.9% NS
B. 3% NS
C. 5DW
D 5DW with half NS
6. Lorazepam
7. Phenytoin
A. 0.9% NS
B. 3% NS
C. 5DW
D 5DW with half NS
6. Lorazepam
7. Phenytoin