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Medicine

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Endocrine

Question
8 out of 14
 

Mr. Ram Lal, 80 years, a known case of diabetes, was brought to emergency ward in unconscious state. His blood sugar was 900 mg%, dry tongue. BP; 80/50. Urine ketones negative. Which of the following fluid you will give to treat his marked dehydration.



A Injection RL
B Injection N/2 saline

C Give plain water by Ryle’s tube
D Injection N saline

Ans. D

Injection N saline

(This is a case of NKHOC. Ideal replacement fluid in this condition N/2 saline but in this case the patient BP is 80/50 i.e. he is in hypovolemic shock so to begin with in this case N saline should be given. Once the systolic BP is above 90mmHg then N/2 saline should be started. Supposed in this question patient’s BP was 110/70 i.e. normal BP than best answer would have been N/2 saline.)

Endocrine Flashcard List

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