Specialties Emergency
Published Jun 28, 2007
phiposurde
120 Posts
Man in the ER. Found on the ground by landlord. Last seen normal 10 days ago.Come in with slurred speech ( resolving), R side weakness ( uper worse then lower). Sodium 165. Urine output about 50 cc/h. Ct unsure between ICH vs tumor. Waiting for MRI. CK normal and no myoglobine in the urine but very dark tea colour. Order to infuse ,45 saline at 100 cc/h. Are you going with the order and why?
Ann RN
221 Posts
Need other labs - Bun/Cr? Lytes? Serum osmo? If you cannot rule out a head bleed, DO NOT give dextrose!
BluntForceTrauma
281 Posts
I would consider 1/4 saline with a sodium level of 165.