q1
sudha2015 - 01-16-11 10:30
A 68-year-old man with metastatic lung cancer is brought to the emergency room by his daughter, who reports that his father has been increasingly confused and lethargic over the past week. He denies any recent head trauma or any other medical problems. He reports taking chemotherapy but no other medications. On physical examination, his vital signs are stable, no jugular venous distension is present, and cardiac and lung exams are unremarkable. A CT scan does not show any brain metastases.
Laboratory results show:
Sodium: 124 mEq/L
Potassium: 4.6 mEq/L
Chloride: 102 mEq/:L
Bicarbonate: 22 mEq/L
What is the most appropriate next step in managing this patient?
sudha2015 - 01-16-11 10:30
A 68-year-old man with metastatic lung cancer is brought to the emergency room by his daughter, who reports that his father has been increasingly confused and lethargic over the past week. He denies any recent head trauma or any other medical problems. He reports taking chemotherapy but no other medications. On physical examination, his vital signs are stable, no jugular venous distension is present, and cardiac and lung exams are unremarkable. A CT scan does not show any brain metastases.
Laboratory results show:
Sodium: 124 mEq/L
Potassium: 4.6 mEq/L
Chloride: 102 mEq/:L
Bicarbonate: 22 mEq/L
What is the most appropriate next step in managing this patient?
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