02-06-2008, 11:33 AM
basic rule to correct hypovolumia is give isotonic fluid to stabalize BP and then give what pt has lost--goljan
now,,marathon runner at the end of his race collapses his bp 90/70,HR 102,tilt test +,,his serum na is 165.
what do i do,giving him isotonic fluid will make him more Na OVERLOAD but acc to goljan this is correct ans.
qs.2, Diabetes insipidus pt has serum sodium 165,now goljan says treat this pt with D5W and dont give him 1/2 normal saline or else he will be salt overloaded.
kap surgery says;treat gradually develpoed hypernatremia by volume repletion with D5 1/2 NSand not with D5Wand rapidly develpoed hypernatremia with cns sx is treated by diluted fluidseg D5W.
m getting more confused can anyone plz summarize this in easy.
thanks .
now,,marathon runner at the end of his race collapses his bp 90/70,HR 102,tilt test +,,his serum na is 165.
what do i do,giving him isotonic fluid will make him more Na OVERLOAD but acc to goljan this is correct ans.
qs.2, Diabetes insipidus pt has serum sodium 165,now goljan says treat this pt with D5W and dont give him 1/2 normal saline or else he will be salt overloaded.
kap surgery says;treat gradually develpoed hypernatremia by volume repletion with D5 1/2 NSand not with D5Wand rapidly develpoed hypernatremia with cns sx is treated by diluted fluidseg D5W.
m getting more confused can anyone plz summarize this in easy.
thanks .