try this ques my online friends!!!! - stefan78

[ArchivalUser]

65y/o with crf has n/v.had these symptoms from 3 days.denises similar prior episode.no abd pain,dysphagia.no fever.PMH-DM,HTN.takes metoprolo &insulin.vital signs stable.lung,heart,abd exam normal.bun-50mg/dl..cr-7mg/dl
most appropraite step-
1)hemodialysis
2)xray abd
3)prescribe metoclopramide
4)prescribe ondansetron
5)schedule endoscopy
_

[ArchivalUser]

1)hemodialysis????

[ArchivalUser]

wats n/v

[ArchivalUser]

nausea and vomiting

[ArchivalUser]

Thanks.
1.

[ArchivalUser]

111111111111111111111

[ArchivalUser]

indications of hemodialysis-
1)pericardtis
2)inc k
3)acidosis
4)vol overload
5)encephalopathy

there aint any indication for bun and cr

[ArchivalUser]

so now .................

[ArchivalUser]

persistant N&V is a sign of uremia.so hemodialysis is certainly indicated.

[ArchivalUser]

in the absence of the electrolytes measurment I will consider this nausea and vomiting is a sign of uremia(mostly)so we have to==> dialysis