Nephrology Question 15

A 78 year old female weighing 60kg has been started on a thiazide diuretic 3 weeks ago. She presents to the ER with malaise and fatigue, a serum Na of 120 mmol/L and is clinically hypovolemic.

What treatment would you prescribe? For fluid orders, specify the exact fluid type and rate of administration.

Why is it critical to monitor the urine flow rate?

What would you do if the serum Na corrected to 135 mmol/L after 8 hours of treatment?

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