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A group of inmates from a high security prison broke free in a closed metal truck in the middle of summer. When apprised by radio that U.S. Marshals are on their trail, the smugglers abandoned their charges in the middle of the desert, in the locked truck, with little water to drink. The victims are found and rescued 5 days later. One of them is brought to the emergency department, awake and alert, with obvious clinical signs of severe dehydration and a serum sodium concentration of 160 mEq/L. What are you going to do?? Hint: Again, the patient is awake and alert. 1-Leave them to die, because they supposedly broke the law. 2-5 L of 5% dextrose in water (D5W) over 2-3 days 3-5 L of D5W over 5-10 hours 4-5 L of 5% dextrose in half normal saline (D5 1/2 NS) over 5-10 hours 5-10 L of normal saline over 2-3 days 6-10 L of D5 1/2 NS over 5-10 hours 7-10 L of Lactate Ringers over 5 hours 8-10 kg of cyanide IV over 10 minutes

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Subject: Tommy's Concepts

Question

A group of inmates from a high security prison broke free in a closed metal truck in the middle of summer. When apprised by radio that U.S. Marshals are on their trail, the smugglers abandoned their charges in the middle of the desert, in the locked truck, with little water to drink. The victims are found and rescued 5 days later. One of them is brought to the emergency department, awake and alert, with obvious clinical signs of severe dehydration and a serum sodium concentration of 160 mEq/L. What are you going to do?? Hint: Again, the patient is awake and alert.
1-Leave them to die, because they supposedly broke the law.
2-5 L of 5% dextrose in water (D5W) over 2-3 days
3-5 L of D5W over 5-10 hours
4-5 L of 5% dextrose in half normal saline (D5 1/2 NS) over 5-10 hours
5-10 L of normal saline over 2-3 days
6-10 L of D5 1/2 NS over 5-10 hours
7-10 L of Lactate Ringers over 5 hours
8-10 kg of cyanide IV over 10 minutes

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