An 11-year-old boy has experienced severe diarrhea for 10 days. He presents with decreased skin tungor, sunken eyes, orthostatic hypotension, and tachycardia. Which of the following statement(s) may be true concerning his diagnosis and treatment?
A. His hematocrit will likely be elevated
B. His BUN may be elevated out of proportion to serum creatinine
C. His serum sodium will be elevated
D. Fluid resuscitation should begin with D5/.2 normal saline because of the expected high serum sodium associated with excessive fluid loss
Answer:A
An 11-year-old boy has experienced severe diarrhea for 10 days. He presents with decreased skin tungor, sunken eyes, orthostatic hypotension, and tachycardia. Which of the following statement(s) may be true concerning his diagnosis and treatment?
A. His hematocrit will likely be elevated B. His BUN may be elevated out of proportion to serum creatinine C. His serum sodium will be elevated D. Fluid resuscitation should begin with D5/.2 normal saline because of the expected high serum sodium associated with excessive fluid loss