CMSA Intermediate Surgery Practice Questions - FCS(SA) Intermediate Examination In Surgery Exam

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A 55-year-old postoperative male patient following an emergency laparotomy develops asymptomatic mild hyponatremia with a serum sodium level of 131 mmol/L on postoperative day 2. He is euvolemic on clinical examination. What is the most appropriate initial management?

Infusion of 3% hypertonic saline at 50 mL/h Restriction of hypotonic intravenous fluid administration and clinical monitoring Immediate administration of intravenous furosemide 40 mg Administration of oral sodium chloride tablets 2 g three times daily

Correct Answer:

Restriction of hypotonic intravenous fluid administration and clinical monitoring

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