14. A previously well 18-year-old girl is admitted to the ICU because of altered mental status. She does not respond to instructions and her arms are postured in a flexor position. Laboratory data reveal a serum sodium con- centration of 125 mmol/L. Her friends indicate that the patient had taken ecstasy at a party the night before, and because she was extremely thirsty the next morning, she had consumed a lot of water in a short period of time. Assuming that the reduction in osmolarity is entirely due to water con- sumption, that her initial weight was 60 kg, and that her initial osmolarity was 300 mOsm/L, which of the following is approximately how much water she would have had to drink to produce the observed hyponatremia?

Anatomy & Physiology
1st Edition
ISBN:9781938168130
Author:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble
Publisher:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble
Chapter15: The Autonomic Nervous System
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14. A previously well 18-year-old girl is admitted to the ICU because of
altered mental status. She does not respond to instructions and her arms are
postured in a flexor position. Laboratory data reveal a serum sodium con-
centration of 125 mmol/L. Her friends indicate that the patient had taken
ecstasy at a party the night before, and because she was extremely thirsty the
next morning, she had consumed a lot of water in a short period of time.
Assuming that the reduction in osmolarity is entirely due to water con-
sumption, that her initial weight was 60 kg, and that her initial osmolarity
was 300 mOsm/L, which of the following is approximately how much water
she would have had to drink to produce the observed hyponatremia?
Transcribed Image Text:14. A previously well 18-year-old girl is admitted to the ICU because of altered mental status. She does not respond to instructions and her arms are postured in a flexor position. Laboratory data reveal a serum sodium con- centration of 125 mmol/L. Her friends indicate that the patient had taken ecstasy at a party the night before, and because she was extremely thirsty the next morning, she had consumed a lot of water in a short period of time. Assuming that the reduction in osmolarity is entirely due to water con- sumption, that her initial weight was 60 kg, and that her initial osmolarity was 300 mOsm/L, which of the following is approximately how much water she would have had to drink to produce the observed hyponatremia?
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