A 71-year-old man is on day 2 after a Hartmann procedure for perforated diverticulitis. He remains nil by mout…

Question

A 71-year-old man is on day 2 after a Hartmann procedure for perforated diverticulitis. He remains nil by mouth and his nasogastric tube has drained 1400 mL in 24 hours. He is thirsty with dry mucous membranes, blood pressure 118/70 mmHg and urine output 15 mL/h. Intravenous ceftriaxone and metronidazole are running through his only cannula. Sodium is 129 mmol/L, potassium 5.8 mmol/L and creatinine 178 micromol/L, having been 92 micromol/L on admission. Which one of the following should be chart…

Accepted Answer

Sodium chloride 0.9% 1 L over 8 hours

Answer

Compound sodium lactate 1 L over 8 hours

Answer

Glucose 5% 1 L over 8 hours

Answer

Sodium chloride 0.45% with glucose 5% 1 L over 8 hours

Answer

Sodium chloride 0.9% with potassium chloride 20 mmol/L 1 L over 8 hours

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