A 54-year-old man presents to the emergency department with…
A 54-year-old man presents to the emergency department with acute traumatic brain injury and evidence of cerebral edema on CT scan. He is intubated and sedated. Which of the following intravenous fluids is most appropriate for the acute management of his cerebral edema?
Read DetailsA 72-year-old woman presents with confusion and serum sodium…
A 72-year-old woman presents with confusion and serum sodium of 122 mmol/L. She recently started sertraline for depression and is also taking carbamazepine for trigeminal neuralgia. Which of the following medications is most likely responsible for her hyponatremia due to SIADH?
Read DetailsA 72-year-old patient in septic shock receives 4 liters of N…
A 72-year-old patient in septic shock receives 4 liters of NS over 6 hours. She develops increasing dyspnea, elevated JVP, and diffuse crackles. Labs show: Na 150 mEq/L, Cl 120 mEq/L, HCO₃ 18 mEq/L, lactate 1.0. Which complication of fluid therapy is most likely?
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