Ok, I just took my first test on F and E and this is not my first attempt at Med Surg II. I studied my butt off for this test and after taking it I do not feel as though I did any better on it than I did the first time I took the course (last spring)
Any who, I am stumped on the first question on the test which read:
Your patient is admitted to the hospital, upon review of her lab values you find Cl- 88 Na+ 160 K+ 4. Which of the following IV solutions would you administer?
A Lactated Ringers
D .45NS with Potassium
I do not know the answer to this question, or why I should know the answer, as EVERYTHING I have been assigned to read has only what to do for high or low sodium or high or low chloride, and how they go together and mimic each other, and treating one will treat the other....So how am I supposed to know which one of these to give? Obviously, the potassium is normal so I'm not giving D. I would think that giving D10W would completely flush out the sodium taking chloride with it, but I dont know about A or B. I chose A because I thought D5W would also give free water and flush out sodium with chloride, but I guess A is wrong too since it contains sodium. What is the answer. And Why?? I have been back through all of my material and still can not come up with the answer. Please, please! help me!