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A patients fasting blood glucose is high > 300 mg/dL and his serum sodium is falsely...

A patients fasting blood glucose is high > 300 mg/dL and his serum sodium is falsely low. This could be related to the osmotically active glucose draws water from cells into intravascular space creating a dilution. What would you recommend: to increase his sodium intake or to control his blood glucose?

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Answer #1

Blood glucose level above 300mg/dl are an expected finding of diabetes insipidus.The treatment for such conditions are

  • IV insulin
  • IV FLUIDSie2 lines ,one for fluid one for insulin.
  • Normal saline to dilute sugars.
  • Houry Blood sugar.
  • Hourly I ntake and output.
  • ABG to detect Metabolic Acidosis.
  • EKG because of shifting potassium.
  • Administration of sodium bicarbonate.
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