A patient receiving hypertonic saline for severe hyponatraemia is being monitored on the ward. Which assessment is most important?
Correct answer: A. Neurological status and serum sodium
- A. Neurological status and serum sodium
- B. Bowel sounds and abdominal girth
- C. Visual acuity and hearing
- D. Skin temperature and hair texture
Explanation
Hypertonic saline can change serum sodium rapidly, and neurological observations help detect worsening hyponatraemia or complications of overcorrection. The other assessments do not directly monitor the main risks of this therapy.
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About IV Fluids and Blood Transfusion
IV therapy covers crystalloid and colloid fluids, electrolyte replacement, maintenance and resuscitation fluids, infusion equipment and complications such as infiltration, phlebitis, fluid overload and electrolyte imbalance. Blood transfusion content includes compatibility, cross matching, administration precautions and recognition of haemolytic, febrile and allergic reactions, distinct from ordinary IV fluid reactions.
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