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.
|B||Injection N/2 saline|
|C||Give plain water by Ryle’s tube|
|D||Injection N saline|
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.)