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A 74-year-old male asked about a 91-year-old male:

If an elderly person has renal impairment, chf & hypernatremia (sodium presently 157 mmol/l) would it seem to be appropriate for him to be on a normal saline iv fluid? other conditions are copd, pleural effusion, t2 diabetes, delirium, mild hepatic dysfun

2 doctor answers2 doctors weighed in
Dr. Mujjahid Abbas
Bariatrics 22 years experience
May be not !!!!: Fluid management in a complex patient is a very complex issue and a strait forward yes or no is not the answer. Amount of fluid administered along with medications being given make it further complex. There is no harm bringing up this question with patient's current physicians.
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Dr. Herman Hammerstead
A Verified Doctoranswered
Trauma Surgery 52 years experience
Multiple med problem: I would consider 1/4 N.S. a more appropriate fluid. Sounds multiple system are failing and he has a very high mortality. If one can correct the CHF and CRF then the other factors may correct themselves, but doubt that Hemodialysis is indicated in a 91 y/o
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Oct 10, 2014


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